| NPI | 1821339896 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: FL 26449) | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 115292) | 
| Enumeration Date | 2013-03-15 | 
| Last Update Date | 2025-09-15 |