| NPI | 1093913758 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225XG0600X Occupational Therapist, Gerontology (Licence: FL OT12570)  | 
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: FL OT12570)  | 
| Enumeration Date | 2007-07-04 | 
| Last Update Date | 2015-05-07 |