| NPI | 1710401351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: MA 11777) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MA 11777) |
| 225X00000X Occupational Therapist (Licence: RI OT01541) | |
| Enumeration Date | 2017-07-26 |
| Last Update Date | 2017-07-26 |