| NPI | 1194136069 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MA 11204) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: VT 072.0103235) |
| Enumeration Date | 2014-05-14 |
| Last Update Date | 2016-12-07 |