| NPI | 1821361023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VT 0720107162) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NH 2810) |
| Enumeration Date | 2012-02-17 |
| Last Update Date | 2018-09-13 |