| NPI | 1417079567 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: SC 4696) | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OT12598) | 
| Enumeration Date | 2007-04-06 | 
| Last Update Date | 2016-04-27 |