| NPI | 1881042570 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: RI OT01501) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MA 11515) |
| Enumeration Date | 2016-06-02 |
| Last Update Date | 2016-06-02 |