| NPI | 1255921953 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CO OT.0008477) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2021-01-26 |
| Last Update Date | 2024-06-12 |