| NPI | 1871958850 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XG0600X Occupational Therapist, Gerontology (Licence: MA 11816) |
| Additional Taxonomies | 225XG0600X Occupational Therapist, Gerontology (Licence: FL OT5215) |
| Enumeration Date | 2015-12-17 |
| Last Update Date | 2015-12-17 |