| NPI | 1164935680 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT19828) | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA 18121) | 
| Enumeration Date | 2017-11-06 | 
| Last Update Date | 2020-08-14 |