| NPI | 1265007686 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: SC 875)  | 
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: SC OT.875OT)  | 
| Enumeration Date | 2021-05-26 | 
| Last Update Date | 2021-10-11 |