| NPI | 1578036455 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MA 13411) |
| Additional Taxonomies | 222Q00000X Developmental Therapist (Licence: MA 13411) |
| Enumeration Date | 2019-01-03 |
| Last Update Date | 2021-04-08 |