| NPI | 1891983813 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL 10294)  | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA 4848)  | 
| Enumeration Date | 2007-10-04 | 
| Last Update Date | 2007-10-04 |