| NPI | 1568588614 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT10399) | 
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: FL OT10399) | 
| Enumeration Date | 2007-03-21 | 
| Last Update Date | 2010-03-29 |