| NPI | 1104083625 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: NH 0556) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: VT 073-0000177) |
| Enumeration Date | 2008-05-21 |
| Last Update Date | 2008-05-21 |