| NPI | 1467087379 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: ME OT3815) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: ME OT3815) |
| Enumeration Date | 2020-03-11 |
| Last Update Date | 2023-12-12 |