| NPI | 1689210049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XG0600X Occupational Therapist Gerontology (Licence: VA 0119006380) |
| Additional Taxonomies | 225XE0001X Occupational Therapist Environmental Modification |
| 225XP0019X Occupational Therapist Physical Rehabilitation | |
| Enumeration Date | 2019-11-20 |
| Last Update Date | 2019-11-20 |