| NPI | 1609317270 | 
|---|---|
| Former Name | ERIN MALENFANT | 
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MA 12067)  | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CT 004650)  | 
| Enumeration Date | 2017-03-16 | 
| Last Update Date | 2017-03-16 |