| NPI | 1184473092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 222Q00000X Developmental Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MA 15501) |
| Enumeration Date | 2024-05-14 |
| Last Update Date | 2025-04-08 |