| NPI | 1770031981 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL 262627) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: FL 26211) |
| Enumeration Date | 2016-09-15 |
| Last Update Date | 2025-07-23 |