| NPI | 1700459765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT22083) |
| Additional Taxonomies | 225XP0200X Occupational Therapist Pediatrics (Licence: FL 22083) |
| Enumeration Date | 2021-07-19 |
| Last Update Date | 2021-07-19 |