| NPI | 1912750142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MA OTL15319) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NH 3562) |
| Enumeration Date | 2024-04-08 |
| Last Update Date | 2024-05-12 |