| NPI | 1730808213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: FL OTA15030) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL 15030) |
| Enumeration Date | 2022-08-26 |
| Last Update Date | 2025-11-18 |