| NPI | 1104605849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: MA 15048) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MA 15048) |
| 225XF0002X Occupational Therapist, Feeding, Eating & Swallowing (Licence: MA 15048) | |
| Enumeration Date | 2023-09-22 |
| Last Update Date | 2023-09-22 |