| NPI | 1407463441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: OH OT011871) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 3747P1801X Technician Personal Care Attendant | |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2022-08-09 |