| NPI | 1598434003 |
|---|---|
| Former Name | JENNIFER LOURDES FERALES AZARES |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XG0600X Occupational Therapist, Gerontology (Licence: CA 2799) |
| Enumeration Date | 2021-09-08 |
| Last Update Date | 2021-09-08 |