| NPI | 1427460021 |
|---|---|
| Former Name | COURTNEY ANDERSON EARL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NY 010698) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: NY 018647) |
| 225X00000X Occupational Therapist (Licence: VT 072.0091394) | |
| Enumeration Date | 2014-05-30 |
| Last Update Date | 2014-05-30 |