| NPI | 1649699463 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: RI OTA00171-G) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: MD A02109) |
| Enumeration Date | 2014-04-09 |
| Last Update Date | 2014-04-09 |