| NPI | 1588014120 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL 17818) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL OT17818) |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2016-09-23 |