| NPI | 1912209479 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VT 072 0000486) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NH 1042) |
| Enumeration Date | 2010-12-03 |
| Last Update Date | 2019-10-31 |