| NPI | 1013091891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: TN 9188) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: TN 1267) |
| Enumeration Date | 2006-10-25 |
| Last Update Date | 2024-11-10 |