| NPI | 1205133212 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119005327) | 
| Additional Taxonomies | 225XP0019X Occupational Therapist, Physical Rehabilitation | 
| Enumeration Date | 2011-02-28 | 
| Last Update Date | 2012-06-21 |