NPI | 1699793794 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: ME OT307) |
Additional Taxonomies | 225700000X Massage Therapist (Licence: ME MT2661) |
Enumeration Date | 2006-07-17 |
Last Update Date | 2007-12-19 |