| NPI | 1568584779 |
|---|---|
| Former Name | LAUREN MARIE AMIRAULT |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CO 2414) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MD 04641) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2013-07-23 |