| NPI | 1780125807 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MA 12195) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: ME OT3245) |
| 225X00000X Occupational Therapist (Licence: VT 072.0115722) | |
| Enumeration Date | 2017-03-09 |
| Last Update Date | 2017-03-09 |