| NPI | 1508101502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: RI OTA00558) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: MA 3458) |
| Enumeration Date | 2012-12-01 |
| Last Update Date | 2012-12-01 |