| NPI | 1578912440 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: VT 073.0000147) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: MA 1999) |
| Enumeration Date | 2016-06-10 |
| Last Update Date | 2016-06-10 |