| NPI | 1861070443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: ME OT4360) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NH 2663) |
| 225X00000X Occupational Therapist (Licence: MA 12571) | |
| Enumeration Date | 2021-04-01 |
| Last Update Date | 2022-10-03 |