| NPI | 1457695348 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XG0600X Occupational Therapist, Gerontology (Licence: NH 1812) |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: MA 8159) |
| Enumeration Date | 2012-11-16 |
| Last Update Date | 2023-04-21 |