NPI | 1366934457 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YM0800X Counselor, Mental Health |
Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CA 17220) |
225XM0800X Occupational Therapist, Mental Health (Licence: OR 377194) | |
Enumeration Date | 2018-06-04 |
Last Update Date | 2023-05-30 |