NPI | 1760984991 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MA 12559) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: VT 072.0123985) |
Enumeration Date | 2018-03-04 |
Last Update Date | 2018-03-04 |