| NPI | 1689136533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT25113) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: FL FL17129) |
| Enumeration Date | 2019-04-01 |
| Last Update Date | 2024-04-08 |