| NPI | 1114184900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: MO 2010038543) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2008-05-19 |
| Last Update Date | 2024-09-26 |