| NPI | 1730999350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: FL OTA19443) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: NY 010179) |
| Enumeration Date | 2025-01-08 |
| Last Update Date | 2025-01-08 |