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 |