| NPI | 1902319320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant |
| Additional Taxonomies | 224ZE0001X Occupational Therapy Assistant, Environmental Modification |
| Enumeration Date | 2017-11-07 |
| Last Update Date | 2017-11-07 |