| NPI | 1053885129 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225XM0800X Occupational Therapist, Mental Health | 
| Additional Taxonomies | 225X00000X Occupational Therapist | 
| Enumeration Date | 2019-01-11 | 
| Last Update Date | 2019-01-11 |