| NPI | 1336712298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CO 0017325) |
| Additional Taxonomies | 225X00000X Occupational Therapist |
| Enumeration Date | 2021-07-20 |
| Last Update Date | 2025-07-31 |