NPI | 1396401360 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MA OTL36219) |
Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: MA ATL3785) |
Enumeration Date | 2021-11-12 |
Last Update Date | 2025-09-18 |