| NPI | 1386259414 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: WA 60710458) |
| Enumeration Date | 2020-09-15 |
| Last Update Date | 2023-01-31 |