| NPI | 1629643192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MA 13982) |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2021-05-26 |
| Last Update Date | 2021-05-26 |