| NPI | 1336507524 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MD 09471) |
| Additional Taxonomies | 374U00000X Home Health Aide (Licence: DC HHA11508) |
| Enumeration Date | 2016-02-03 |
| Last Update Date | 2021-11-20 |