| NPI | 1396521126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: RI OT01722) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MA 12678) |
| Enumeration Date | 2023-09-07 |
| Last Update Date | 2023-09-07 |