| NPI | 1407035587 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MA 13177) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: MA 2904) |
| Enumeration Date | 2007-10-25 |
| Last Update Date | 2024-04-29 |