| NPI | 1396145629 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: VT 073.0087973) |
| Additional Taxonomies | 302R00000X Health Maintenance Organization (Licence: VT 073.0087973) |
| Enumeration Date | 2014-08-22 |
| Last Update Date | 2014-08-22 |