| NPI | 1992012272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: ME OT2785) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NC 6268) |
| Enumeration Date | 2010-09-08 |
| Last Update Date | 2019-09-17 |