| NPI | 1306294905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: MA 13439) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: MA 3903) |
| Enumeration Date | 2016-05-25 |
| Last Update Date | 2020-01-21 |