| NPI | 1619365400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MA 11379) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NH 2424) |
| Enumeration Date | 2014-12-31 |
| Last Update Date | 2014-12-31 |