| NPI | 1982092391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT16570) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: AR OTR2767) |
| Enumeration Date | 2015-01-07 |
| Last Update Date | 2015-05-13 |