NPI | 1598338154 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: ME OT3968) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: ME OT3968) |
Enumeration Date | 2021-07-21 |
Last Update Date | 2024-01-29 |