| NPI | 1639529522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MA 11965) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NH 2559) |
| Enumeration Date | 2016-06-21 |
| Last Update Date | 2023-03-10 |