| NPI | 1962283820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MA OTL15126) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: PA OC019469) |
| Enumeration Date | 2023-10-06 |
| Last Update Date | 2023-12-13 |