| NPI | 1750778700 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MA 10783) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NH 2439) |
| Enumeration Date | 2015-04-16 |
| Last Update Date | 2018-09-07 |