| NPI | 1528219821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: LA OTT.200120) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: LA OTT.200120) |
| Enumeration Date | 2008-10-06 |
| Last Update Date | 2023-01-04 |