| NPI | 1902294028 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: VA 0119010239) |
| Additional Taxonomies | 172V00000X Community Health Worker |
| Enumeration Date | 2014-12-23 |
| Last Update Date | 2024-01-04 |