| NPI | 1780882217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: ME OA440) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: ME PA70000859) |
| Enumeration Date | 2007-07-05 |
| Last Update Date | 2025-09-11 |