| NPI | 1811903610 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL 21682) | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PR 870) | 
| Enumeration Date | 2006-08-01 | 
| Last Update Date | 2021-05-08 |