| NPI | 1659752566 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MA 10898) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: ME OT2993) |
| Enumeration Date | 2015-06-16 |
| Last Update Date | 2015-06-16 |