| NPI | 1073939021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 172V00000X Community Health Worker |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: ND 860) |
| Enumeration Date | 2014-03-14 |
| Last Update Date | 2026-01-28 |