| NPI | 1720664998 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: ME OT4015) |
| 225X00000X Occupational Therapist (Licence: NH 3331) | |
| Enumeration Date | 2021-03-19 |
| Last Update Date | 2024-03-04 |