| NPI | 1598140683 | 
|---|---|
| Former Name | ROSE GOYETTE | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WI 6560-26)  | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: VA 0119006581)  | 
| Enumeration Date | 2015-07-30 | 
| Last Update Date | 2019-10-29 |