| NPI | 1619462512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MI 5201013673) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2018-06-25 |
| Last Update Date | 2023-10-10 |