| NPI | 1093963969 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: TX 117018) |
| Additional Taxonomies | 225XP0200X Occupational Therapist, Pediatrics (Licence: MO 2009012530) |
| 101YM0800X Counselor, Mental Health (Licence: CA D2836598) | |
| Enumeration Date | 2008-09-04 |
| Last Update Date | 2016-11-30 |