| NPI | 1811446677 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: RI OT01428) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MA 11103) |
| Enumeration Date | 2016-09-22 |
| Last Update Date | 2016-09-22 |