| NPI | 1720452519 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 171W00000X Contractor (Licence: RI OT01477) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: RI OT01477) |
| Enumeration Date | 2015-11-17 |
| Last Update Date | 2024-08-06 |