| NPI | 1750745352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: KS 18-00139) |
| Additional Taxonomies | 224ZE0001X Occupational Therapy Assistant, Environmental Modification (Licence: KS 18-00139) |
| Enumeration Date | 2016-04-09 |
| Last Update Date | 2016-04-09 |