| NPI | 1376102467 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: ME 4072) |
| Additional Taxonomies | 106S00000X Behavior Technician |
| 225X00000X Occupational Therapist (Licence: ME 3130) | |
| Enumeration Date | 2019-06-11 |
| Last Update Date | 2021-09-15 |