| NPI | 1629127444 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: RI OT00933) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: MA 8456) |
| Enumeration Date | 2007-01-10 |
| Last Update Date | 2007-07-08 |