| NPI | 1922595610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT24709) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: NY 009701) |
| Enumeration Date | 2018-04-18 |
| Last Update Date | 2023-10-19 |