| NPI | 1659740579 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT23852) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: FL OTA14562) |
| Enumeration Date | 2015-09-21 |
| Last Update Date | 2023-01-21 |