| NPI | 1932903267 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XE0001X Occupational Therapist Environmental Modification (Licence: LA 336622) |
| Additional Taxonomies | 225XG0600X Occupational Therapist Gerontology |
| Enumeration Date | 2025-04-03 |
| Last Update Date | 2025-04-03 |