| NPI | 1811343486 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL 21797) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: FL OTA13282) |
| Enumeration Date | 2016-05-12 |
| Last Update Date | 2021-12-13 |