| NPI | 1679866206 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: RI OT01891) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: RI OTA00540) |
| Enumeration Date | 2011-05-16 |
| Last Update Date | 2020-09-18 |