| NPI | 1821657875 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: ME OT1395) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: ME OT1395) |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2019-06-13 |