NPI | 1104972918 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: OR 1047077) |
Enumeration Date | 2007-01-25 |
Last Update Date | 2025-09-11 |