| NPI | 1073811550 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT 14309) | 
| Additional Taxonomies | 222Q00000X Developmental Therapist | 
| Enumeration Date | 2011-03-07 | 
| Last Update Date | 2021-07-28 |