| NPI | 1730415704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MA 13084) |
| Additional Taxonomies | 101Y00000X Counselor |
| 224Z00000X Occupational Therapy Assistant (Licence: MA 2871) | |
| Enumeration Date | 2009-10-27 |
| Last Update Date | 2019-07-24 |