| NPI | 1487238713 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WV 2432) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2021-05-12 |
| Last Update Date | 2024-02-05 |