| NPI | 1073125233 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: RI OTA00077) | 
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: CA 659) | 
| Enumeration Date | 2020-08-19 | 
| Last Update Date | 2020-09-11 |