| NPI | 1063807964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MA 11503) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: RI OT01512) |
| Enumeration Date | 2015-03-30 |
| Last Update Date | 2015-08-20 |