| NPI | 1306039888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WY 686) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WY CAP-190) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2007-08-20 |
| Last Update Date | 2021-10-25 |