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 |