| NPI | 1003583600 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XM0800X Occupational Therapist, Mental Health |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 225X00000X Occupational Therapist (Licence: CA 22679) | |
| Enumeration Date | 2021-08-23 |
| Last Update Date | 2022-02-02 |