NPI | 1578215372 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: ME OT1344) |
Additional Taxonomies | 225XE0001X Occupational Therapist, Environmental Modification (Licence: ME OT1344) |
Enumeration Date | 2022-01-22 |
Last Update Date | 2022-01-22 |