| NPI | 1982906954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MA 10098) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: ME PA 3015) |
| 225X00000X Occupational Therapist (Licence: FL 14015) | |
| Enumeration Date | 2010-11-24 |
| Last Update Date | 2010-11-24 |