| NPI | 1487789368 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL 8555)  | 
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL 8555)  | 
| Enumeration Date | 2007-02-22 | 
| Last Update Date | 2013-07-31 |