| NPI | 1528397940 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MN 105991) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: ME OT2162) |
| Enumeration Date | 2009-12-14 |
| Last Update Date | 2019-05-29 |