| NPI | 1760269518 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: VA 0131002431) |
| Additional Taxonomies | 224ZE0001X Occupational Therapy Assistant, Environmental Modification (Licence: VA 0131002431) |
| Enumeration Date | 2023-09-13 |
| Last Update Date | 2023-09-13 |