| NPI | 1225296601 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: ME OT2636) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: MA 215370) |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2012-12-11 |