| NPI | 1386123032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XM0800X Occupational Therapist, Mental Health (Licence: ME OT3780) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NH 2759) |
| Enumeration Date | 2018-08-13 |
| Last Update Date | 2022-03-03 |