| NPI | 1033237557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MA 9033) |
| Additional Taxonomies | 152W00000X Optometrist (Licence: MA 5073) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2015-01-20 |