| NPI | 1952999617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VT 072.0100422) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MA 968567) |
| Enumeration Date | 2021-01-07 |
| Last Update Date | 2021-01-07 |