| NPI | 1790968949 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MA 10538) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: MA 10538) |
| Enumeration Date | 2007-12-11 |
| Last Update Date | 2014-12-20 |