| NPI | 1407125628 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MA 10472) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NH 2199) |
| 225X00000X Occupational Therapist (Licence: ME OT2567) | |
| Enumeration Date | 2011-12-16 |
| Last Update Date | 2011-12-16 |