| NPI | 1780058925 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: NV 17-1423) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: VT 073.0000187) |
| Enumeration Date | 2015-11-28 |
| Last Update Date | 2019-03-19 |