| NPI | 1639529274 |
|---|---|
| Former Name | ALIA FREDERICK KUMPEL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: ME OT4116) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA 3693) |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2021-07-14 |