| NPI | 1639574544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: RI OTA00801) |
| Additional Taxonomies | 174400000X Specialist (Licence: RI 43619) |
| Enumeration Date | 2014-11-04 |
| Last Update Date | 2015-04-13 |