| NPI | 1255812640 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MA 31549) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: FL 16707) |
| Enumeration Date | 2018-08-24 |
| Last Update Date | 2025-08-21 |