| NPI | 1760884092 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MA 10235) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: RI OT01272) |
| 225XP0200X Occupational Therapist, Pediatrics (Licence: CA 13875) | |
| Enumeration Date | 2014-09-18 |
| Last Update Date | 2015-09-01 |