| NPI | 1730371444 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT 10499) | 
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: FL OT10499) | 
| Enumeration Date | 2007-08-16 | 
| Last Update Date | 2008-05-22 |