| NPI | 1750971388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MA 13845) |
| Additional Taxonomies | 225XG0600X Occupational Therapist Gerontology |
| Enumeration Date | 2021-01-18 |
| Last Update Date | 2021-01-19 |