| NPI | 1750745485 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XM0800X Occupational Therapist, Mental Health (Licence: ME OT3102) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: ME OT3102) |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2016-04-08 |