| NPI | 1871839183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: VT 073.0089404) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: NC 10951) |
| Enumeration Date | 2012-12-14 |
| Last Update Date | 2018-07-26 |