| NPI | 1053636316 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XN1300X Occupational Therapist, Neurorehabilitation (Licence: GA 003835) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: GA 001883) |
| 101YM0800X Counselor, Mental Health (Licence: GA 001883) | |
| 101YP2500X Counselor, Professional (Licence: GA 001883) | |
| 225XE0001X Occupational Therapist, Environmental Modification (Licence: GA 003835) | |
| 225XM0800X Occupational Therapist, Mental Health (Licence: GA 003835) | |
| 225XP0019X Occupational Therapist, Physical Rehabilitation (Licence: GA 003835) | |
| Enumeration Date | 2010-03-30 |
| Last Update Date | 2010-03-30 |