| NPI | 1922487990 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT20015) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: FL OTA11783) |
| 224Z00000X Occupational Therapy Assistant (Licence: OR 285096) | |
| Enumeration Date | 2015-05-24 |
| Last Update Date | 2019-09-03 |