| NPI | 1750618526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VT 072-0000293) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CT 003519) |
| Enumeration Date | 2009-11-15 |
| Last Update Date | 2009-11-15 |