| NPI | 1780922153 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MD 07018) | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: VA 0119005695) | 
| 225X00000X Occupational Therapist (Licence: FL 43109) | |
| Enumeration Date | 2013-01-19 | 
| Last Update Date | 2013-01-19 |