| NPI | 1851780100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT18984) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: FL OTA11959) |
| Enumeration Date | 2015-01-09 |
| Last Update Date | 2018-02-27 |