| NPI | 1780610592 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MA 6668) |
| Additional Taxonomies | 174400000X Specialist (Licence: RI OT01082) |
| Enumeration Date | 2006-06-23 |
| Last Update Date | 2019-03-22 |