| NPI | 1679811871 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: ME OT2421) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: ME OT2421) |
| Enumeration Date | 2013-01-22 |
| Last Update Date | 2013-01-22 |