| NPI | 1013121540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MA 6412) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: RI OT00607) |
| Enumeration Date | 2007-05-10 |
| Last Update Date | 2007-07-08 |