| NPI | 1053629493 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: OR 1074630) | 
| Additional Taxonomies | 101Y00000X Counselor | 
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2010-09-20 | 
| Last Update Date | 2025-01-10 |