| NPI | 1164769071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MO 2018006030) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 225X00000X Occupational Therapist (Licence: OR 398148) | |
| 225X00000X Occupational Therapist (Licence: TX 119027) | |
| Enumeration Date | 2013-01-11 |
| Last Update Date | 2019-12-10 |