| NPI | 1245649953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: LA z11127) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: LA z11127) |
| Enumeration Date | 2014-08-06 |
| Last Update Date | 2023-01-20 |