| NPI | 1316390180 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL 18871) | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PR 1268) | 
| Enumeration Date | 2016-07-18 | 
| Last Update Date | 2021-04-06 |