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 |