| NPI | 1659652345 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist Pediatrics (Licence: MA 3479) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MA 3479) |
| Enumeration Date | 2011-09-08 |
| Last Update Date | 2011-09-08 |