| NPI | 1144599655 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NE 522) | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IA 00946) | 
| Enumeration Date | 2011-12-29 | 
| Last Update Date | 2011-12-29 |