| NPI | 1215396197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: ME OT2914) |
| Additional Taxonomies | 171000000X Military Health Care Provider (Licence: ME OT2914) |
| Enumeration Date | 2016-02-19 |
| Last Update Date | 2024-02-15 |