| NPI | 1457599680 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MA 10154) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: MA 709) |
| Enumeration Date | 2009-01-26 |
| Last Update Date | 2015-02-11 |