| 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 |