| NPI | 1629340294 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT12831) | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NM 1455) | 
| Enumeration Date | 2012-01-30 | 
| Last Update Date | 2012-07-06 |