| NPI | 1811271281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: ME OT2509) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: OH OT007140) |
| 225X00000X Occupational Therapist (Licence: PA OC010792) | |
| Enumeration Date | 2011-10-04 |
| Last Update Date | 2011-10-04 |