| NPI | 1770798720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: ME OT2017) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MD 05735) |
| 225X00000X Occupational Therapist (Licence: PA OC010074) | |
| Enumeration Date | 2007-05-13 |
| Last Update Date | 2007-07-08 |