NPI | 1033625645 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: CO LSW.0009925776) |
Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: CO 0000951) |
Enumeration Date | 2017-12-18 |
Last Update Date | 2024-10-23 |