| NPI | 1760035968 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: ME OT3779) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: ME OT3779) |
| 225X00000X Occupational Therapist (Licence: CO 0005072) | |
| Enumeration Date | 2019-07-17 |
| Last Update Date | 2020-10-21 |