| NPI | 1689108300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224ZE0001X Occupational Therapy Assistant, Environmental Modification (Licence: AL 5418) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: AL 5418) |
| 224ZE0001X Occupational Therapy Assistant, Environmental Modification (Licence: TN 1137) | |
| Enumeration Date | 2017-04-19 |
| Last Update Date | 2021-01-15 |