| NPI | 1194169623 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MA 10759) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NH 2282) |
| Enumeration Date | 2013-04-26 |
| Last Update Date | 2013-04-26 |