NPI | 1588125462 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: RI OT01795) |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MA 12667) |
Enumeration Date | 2019-03-25 |
Last Update Date | 2023-08-28 |