| NPI | 1578147096 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 224ZE0001X Occupational Therapy Assistant, Environmental Modification |
| Enumeration Date | 2021-05-11 |
| Last Update Date | 2021-05-11 |