| NPI | 1467844639 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224Z00000X Occupational Therapy Assistant (Licence: MO 201200613) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: MO 2012006013) |
| Enumeration Date | 2015-02-25 |
| Last Update Date | 2024-03-06 |