| NPI | 1053575076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WA OT61327946) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR 431277) |
| Enumeration Date | 2008-07-18 |
| Last Update Date | 2023-02-14 |