| NPI | 1902304918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: ME OT3406) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NH 2727) |
| Enumeration Date | 2018-01-24 |
| Last Update Date | 2018-03-17 |