| NPI | 1578438974 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: ME OT4614) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NH 3863) |
| Enumeration Date | 2025-10-07 |
| Last Update Date | 2025-10-07 |