NPI | 1518326669 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: SC 4866) |
Additional Taxonomies | 172V00000X Community Health Worker (Licence: GA OT006232) |
Enumeration Date | 2016-02-17 |
Last Update Date | 2017-04-05 |