| NPI | 1295860963 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: NM 0103921) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NM 401) |
| Enumeration Date | 2007-02-22 |
| Last Update Date | 2007-08-14 |