| NPI | 1639547748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MA 12355) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: IA 0798044) |
| Enumeration Date | 2015-09-04 |
| Last Update Date | 2019-01-07 |