| NPI | 1205474400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: KS 18-01838) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2019-12-18 |
| Last Update Date | 2025-08-27 |