| NPI | 1902573819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: FL OTA17487) |
| Additional Taxonomies | 224ZF0002X Occupational Therapy Assistant, Feeding, Eating & Swallowing (Licence: FL OTA17487) |
| Enumeration Date | 2021-08-27 |
| Last Update Date | 2021-12-09 |