| NPI | 1679955397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: MA 3813) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: RI OTA00740) |
| Enumeration Date | 2015-06-19 |
| Last Update Date | 2015-06-19 |