| NPI | 1225795271 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MA OTL36371) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA OC017994) |
| Enumeration Date | 2021-11-24 |
| Last Update Date | 2025-09-28 |