| NPI | 1548497845 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: GA OT004933) | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL 14204) | 
| Enumeration Date | 2009-06-15 | 
| Last Update Date | 2011-04-16 |