| NPI | 1730513136 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: FL OTA12337) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2013-08-21 |
| Last Update Date | 2022-01-20 |