| NPI | 1518368638 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XG0600X Occupational Therapist, Gerontology (Licence: ME OT4253) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CT 004002) |
| Enumeration Date | 2014-09-08 |
| Last Update Date | 2022-06-06 |