| NPI | 1952794703 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224ZE0001X Occupational Therapy Assistant Environmental Modification (Licence: ID 057003725) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: IL 057003735) |
| Enumeration Date | 2015-03-17 |
| Last Update Date | 2020-04-03 |