| NPI | 1942552419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: FL OTA12372) |
| Additional Taxonomies | 252Y00000X Early Intervention Provider Agency (Licence: FL OTA12372) |
| Enumeration Date | 2012-10-09 |
| Last Update Date | 2023-10-27 |