| NPI | 1750099552 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171M00000X Case Manager/Care Coordinator |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: MO 2017005659) |
| Enumeration Date | 2022-11-10 |
| Last Update Date | 2025-10-10 |