| NPI | 1265858997 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: DC OT010001351) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: FL OT 16183) |
| Enumeration Date | 2014-03-05 |
| Last Update Date | 2018-03-17 |