| NPI | 1740894716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: RI OTA01119) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant |
| 224Z00000X Occupational Therapy Assistant (Licence: MA 4504) | |
| Enumeration Date | 2020-09-07 |
| Last Update Date | 2020-09-07 |