| NPI | 1588059703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MA 11011) |
| Additional Taxonomies | 225XP0200X Occupational Therapist Pediatrics (Licence: NH 2716) |
| Enumeration Date | 2015-04-03 |
| Last Update Date | 2018-03-17 |