| NPI | 1285085183 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: ID 3771074) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: ID OT-1633) |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2025-09-25 |