| NPI | 1215143151 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT7644) | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MA 09350) | 
| Enumeration Date | 2007-05-15 | 
| Last Update Date | 2007-07-08 |