| NPI | 1104585116 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: MA 4782) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| 224Z00000X Occupational Therapy Assistant (Licence: CT 2183) | |
| Enumeration Date | 2021-12-17 |
| Last Update Date | 2022-06-01 |