| NPI | 1679974547 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT20640) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: FL OTA13503) |
| Enumeration Date | 2014-09-10 |
| Last Update Date | 2020-02-03 |