| NPI | 1316471105 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: ME OT3310) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: TX 113112) |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2019-03-05 |