| NPI | 1659727196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: NC 10131) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: RI OT01517) |
| 225X00000X Occupational Therapist (Licence: MA 11457) | |
| Enumeration Date | 2016-05-13 |
| Last Update Date | 2016-05-13 |