| NPI | 1144884081 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 224ZE0001X Occupational Therapy Assistant, Environmental Modification | 
| Additional Taxonomies | 224ZR0403X Occupational Therapy Assistant, Driving and Community Mobility | 
| Enumeration Date | 2019-04-25 | 
| Last Update Date | 2019-04-25 |