| NPI | 1720538614 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: NH 0724) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: VT 073.0116004) |
| 224Z00000X Occupational Therapy Assistant (Licence: MA 4016) | |
| Enumeration Date | 2016-10-04 |
| Last Update Date | 2016-10-04 |