| NPI | 1639669526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MA OTL12694) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NY 022336) |
| Enumeration Date | 2018-05-16 |
| Last Update Date | 2024-08-13 |