| NPI | 1215791421 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: MA OTA4944) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: RI OTA01210) |
| Enumeration Date | 2024-02-08 |
| Last Update Date | 2024-02-08 |