| NPI | 1225300627 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MO 2010041601) |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: MO 2015003623) |
| Enumeration Date | 2012-01-31 |
| Last Update Date | 2015-03-06 |