| NPI | 1700177896 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MA 10316) |
| Additional Taxonomies | 208000000X Pediatrics (Licence: MA 10316) |
| Enumeration Date | 2011-04-25 |
| Last Update Date | 2018-08-29 |