| NPI | 1669805560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: ME OT2732) |
| Additional Taxonomies | 225700000X Massage Therapist (Licence: ME MT429) |
| Enumeration Date | 2013-08-14 |
| Last Update Date | 2013-08-14 |