| NPI | 1962787234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MA 10466) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 225X00000X Occupational Therapist (Licence: RI 01326) | |
| Enumeration Date | 2011-10-18 |
| Last Update Date | 2021-10-06 |