| NPI | 1902069008 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: AZ OTH004166) |
| Additional Taxonomies | 172V00000X Community Health Worker (Licence: AZ 4166) |
| Enumeration Date | 2008-07-08 |
| Last Update Date | 2024-06-14 |