| NPI | 1801948963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: RI OT00153) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MA 1904) |
| Enumeration Date | 2007-01-17 |
| Last Update Date | 2007-07-08 |