| NPI | 1578918413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: MA 3749) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: RI OTA00692) |
| Enumeration Date | 2016-04-28 |
| Last Update Date | 2016-04-28 |