| NPI | 1902170079 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: RI 01371) | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: FL OT13871) | 
| 225X00000X Occupational Therapist (Licence: CT 003891) | |
| Enumeration Date | 2012-03-06 | 
| Last Update Date | 2022-03-18 |