| NPI | 1124375407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VT 072.0115952) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: OR 296592) |
| 225X00000X Occupational Therapist (Licence: CO Registered) | |
| Enumeration Date | 2012-08-06 |
| Last Update Date | 2018-03-17 |