| NPI | 1720445802 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MA 11766) |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 225X00000X Occupational Therapist (Licence: OR 348165) | |
| Enumeration Date | 2016-01-20 |
| Last Update Date | 2024-09-19 |