| NPI | 1417325432 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XM0800X Occupational Therapist, Mental Health (Licence: NM 3185) |
| Additional Taxonomies | 225XM0800X Occupational Therapist, Mental Health (Licence: CA 14687) |
| Enumeration Date | 2015-09-08 |
| Last Update Date | 2017-02-28 |