| NPI | 1487440376 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NH 3948) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: ME OT4785) |
| 225X00000X Occupational Therapist (Licence: MO 2020005610) | |
| 225X00000X Occupational Therapist | |
| 225X00000X Occupational Therapist (Licence: MI 5201014214) | |
| Enumeration Date | 2025-04-16 |
| Last Update Date | 2025-04-28 |