| NPI | 1841955911 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: ME OA4185) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: ME OA4185) |
| Enumeration Date | 2021-11-03 |
| Last Update Date | 2021-11-03 |