| NPI | 1205227725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: ME OT2824) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NH 2303) |
| Enumeration Date | 2015-02-06 |
| Last Update Date | 2015-02-06 |