| NPI | 1548513658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: ME OT2731) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: ME TO2671) |
| Enumeration Date | 2012-10-26 |
| Last Update Date | 2013-06-03 |