| NPI | 1750988192 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171W00000X Contractor |
| Additional Taxonomies | 224ZE0001X Occupational Therapy Assistant, Environmental Modification |
| 225XE0001X Occupational Therapist, Environmental Modification | |
| Enumeration Date | 2020-10-08 |
| Last Update Date | 2020-10-08 |