| NPI | 1972848745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XE0001X Occupational Therapist, Environmental Modification (Licence: MD 04146) |
| Additional Taxonomies | 225XG0600X Occupational Therapist, Gerontology (Licence: MD 4146) |
| Enumeration Date | 2012-12-05 |
| Last Update Date | 2019-04-05 |