| NPI | 1508924713 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MD 06251)  | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CT 002661)  | 
| Enumeration Date | 2006-12-04 | 
| Last Update Date | 2009-02-02 |