| NPI | 1770810137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: ME OT3898) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: ME OA1614) |
| Enumeration Date | 2009-11-05 |
| Last Update Date | 2021-05-20 |