| NPI | 1174758551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: WI 3603-026) |
| 172V00000X Community Health Worker (Licence: MN 102222) | |
| Enumeration Date | 2009-05-28 |
| Last Update Date | 2021-06-21 |