| NPI | 1053785667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MT 8662) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MT 13150) |
| Enumeration Date | 2015-11-19 |
| Last Update Date | 2023-05-22 |