| NPI | 1265498455 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WI 4216-26) | 
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: WI 4216026) | 
| Enumeration Date | 2006-04-25 | 
| Last Update Date | 2015-01-07 |