| NPI | 1104274398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: RI OT00439) |
| Enumeration Date | 2016-05-27 |
| Last Update Date | 2023-10-18 |