| NPI | 1669958765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| 225XE0001X Occupational Therapist, Environmental Modification | |
| 225XL0004X Occupational Therapist, Low Vision | |
| 225XP0019X Occupational Therapist, Physical Rehabilitation | |
| Enumeration Date | 2018-07-12 |
| Last Update Date | 2018-07-12 |