| NPI | 1790084952 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: FL OT11961) |
| Enumeration Date | 2011-03-26 |
| Last Update Date | 2021-06-18 |