| NPI | 1790288041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT22560) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: FL ota13981) |
| Enumeration Date | 2018-03-13 |
| Last Update Date | 2021-12-08 |