| NPI | 1568594885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MA 1395) |
| Additional Taxonomies | 225XP0200X Occupational Therapist Pediatrics (Licence: MA 1395) |
| Enumeration Date | 2007-03-12 |
| Last Update Date | 2007-07-08 |