| NPI | 1518464015 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: ME OT3919) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MA 12893) |
| 225X00000X Occupational Therapist (Licence: NH 2936) | |
| 225X00000X Occupational Therapist (Licence: MD 08457) | |
| Enumeration Date | 2018-04-11 |
| Last Update Date | 2021-06-17 |