| NPI | 1780245332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MA 12973) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: VT 0720134047) |
| 225X00000X Occupational Therapist (Licence: CT 5082) | |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2019-06-25 |