| NPI | 1023700887 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: MA OTA4886) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: RI OTA01280) |
| Enumeration Date | 2023-05-22 |
| Last Update Date | 2023-06-23 |