| NPI | 1992526743 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: ME OT4758) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NJ 46TR01201700) |
| Enumeration Date | 2024-10-23 |
| Last Update Date | 2024-12-20 |