NPI | 1083161145 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XG0600X Occupational Therapist, Gerontology (Licence: MA 12191) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MA 12191) |
225XN1300X Occupational Therapist, Neurorehabilitation (Licence: CT 16542658) | |
225XP0200X Occupational Therapist, Pediatrics (Licence: MA 900839666) | |
Enumeration Date | 2016-09-07 |
Last Update Date | 2021-04-29 |