| NPI | 1902359367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: RI OT01696) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: RI OTA00602) |
| 172V00000X Community Health Worker (Licence: RI OT01596) | |
| Enumeration Date | 2016-08-02 |
| Last Update Date | 2022-10-20 |