| NPI | 1619198314 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT939) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL OT939) |
| Enumeration Date | 2007-05-01 |
| Last Update Date | 2011-11-29 |