| NPI | 1063795318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 3747P1801X Technician, Personal Care Attendant (Licence: SC ICHP-1466) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: SC 2706) |
| Enumeration Date | 2011-09-22 |
| Last Update Date | 2021-04-29 |