NPI | 1316512882 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: ME OT4101) |
Additional Taxonomies | 2251P0200X Physical Therapist, Pediatrics (Licence: ME OT4101) |
Enumeration Date | 2021-05-26 |
Last Update Date | 2021-05-26 |