| NPI | 1821785767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MA OTL14783) |
| Enumeration Date | 2023-04-20 |
| Last Update Date | 2023-04-20 |