| NPI | 1376921650 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224ZE0001X Occupational Therapy Assistant Environmental Modification (Licence: TX 212672) |
| Additional Taxonomies | 224ZE0001X Occupational Therapy Assistant Environmental Modification (Licence: ID OTA-1433) |
| Enumeration Date | 2015-05-07 |
| Last Update Date | 2015-05-07 |