| NPI | 1598134215 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CT 4445)  | 
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics | 
| Enumeration Date | 2015-09-23 | 
| Last Update Date | 2018-03-17 |