| NPI | 1609545250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XM0800X Occupational Therapist, Mental Health (Licence: ME OT4147) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: ME OT4147) |
| Enumeration Date | 2021-09-08 |
| Last Update Date | 2021-10-05 |