| NPI | 1790218014 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT21851) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: FL OTA14794) |
| Enumeration Date | 2017-04-04 |
| Last Update Date | 2021-05-24 |