| NPI | 1386186542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT20434) |
| Additional Taxonomies | 2355S0801X Specialist/Technologist Speech-Language Assistant (Licence: FL SI3078) |
| Enumeration Date | 2016-11-04 |
| Last Update Date | 2019-12-03 |