| NPI | 1790631356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: FL OTA15335) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2026-03-06 |
| Last Update Date | 2026-03-06 |