| NPI | 1255656419 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084N0600X Psychiatry & Neurology, Clinical Neurophysiology (Licence: FL ME159262) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OH 35.146506) | |
| 225X00000X Occupational Therapist (Licence: OH 3914) | |
| Enumeration Date | 2010-03-31 |
| Last Update Date | 2024-11-15 |