| NPI | 1750755518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NH 2436) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MA 11472) |
| 225X00000X Occupational Therapist (Licence: VT 072.0108987) | |
| Enumeration Date | 2015-11-17 |
| Last Update Date | 2015-11-17 |