| NPI | 1477788156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: VT 072-0000019) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: VT 072-0000019) |
| 225X00000X Occupational Therapist (Licence: MA 9642) | |
| Enumeration Date | 2009-05-24 |
| Last Update Date | 2009-05-24 |