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 |