| 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 |