| NPI | 1750769162 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: RI OTOO181) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MA 3925) |
| Enumeration Date | 2015-05-18 |
| Last Update Date | 2015-05-18 |