| NPI | 1679865927 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MA 628223) |
| Additional Taxonomies | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: MA 628223) |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: MA 628223) | |
| Enumeration Date | 2011-05-04 |
| Last Update Date | 2011-05-04 |