| NPI | 1356878383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA CG61245406) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MT OTP-OT-LIC-3308) |
| Enumeration Date | 2017-05-22 |
| Last Update Date | 2022-01-06 |