NPI | 1003136219 |
---|---|
Former Name | CAROLYN PAKUTZ |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: AK 137212) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
Enumeration Date | 2010-06-10 |
Last Update Date | 2018-09-20 |