| NPI | 1568944932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: ME OT3857) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NJ 46TR00780500) |
| Enumeration Date | 2018-09-03 |
| Last Update Date | 2022-01-06 |