| NPI | 1750510699 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL OT 11351) | 
| Additional Taxonomies | 225XG0600X Occupational Therapist, Gerontology (Licence: FL OT 11351) | 
| Enumeration Date | 2009-07-14 | 
| Last Update Date | 2009-07-14 |