| NPI | 1083011126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: ME #OT2668) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MA 10762) |
| Enumeration Date | 2014-12-03 |
| Last Update Date | 2020-10-16 |