| NPI | 1437728128 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MA 13999) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: MA 12990) |
| 225X00000X Occupational Therapist (Licence: CT 5728) | |
| Enumeration Date | 2021-06-17 |
| Last Update Date | 2021-09-10 |