| NPI | 1538584354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224ZE0001X Occupational Therapy Assistant, Environmental Modification (Licence: MO 2000174007) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: KS 18-01016) |
| Enumeration Date | 2014-03-03 |
| Last Update Date | 2014-03-03 |