| NPI | 1912488313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VT 0112027) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MA 10543) |
| Enumeration Date | 2018-08-23 |
| Last Update Date | 2018-08-23 |