| NPI | 1679025985 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT24687) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: FL PTA27134) |
| Enumeration Date | 2016-11-03 |
| Last Update Date | 2023-10-16 |