| NPI | 1730807967 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL 23410) |
| Additional Taxonomies | 261Q00000X Clinic/Center (Licence: FL 23410) |
| Enumeration Date | 2022-08-15 |
| Last Update Date | 2022-08-15 |