| NPI | 1356649081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: UT 11821070-4201) |
| Additional Taxonomies | 101Y00000X Counselor |
| 225XM0800X Occupational Therapist, Mental Health | |
| Enumeration Date | 2011-03-04 |
| Last Update Date | 2021-12-20 |