| NPI | 1326827460 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XM0800X Occupational Therapist, Mental Health (Licence: MA OTL13590) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: MA OTL13590) |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: RI OT01824) | |
| 225XM0800X Occupational Therapist, Mental Health (Licence: RI OT01824) | |
| Enumeration Date | 2023-09-27 |
| Last Update Date | 2023-09-27 |