| NPI | 1821344433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XP0200X Occupational Therapist, Pediatrics (Licence: 0119005607) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: VA 0119005607) |
| Enumeration Date | 2012-08-01 |
| Last Update Date | 2021-03-18 |