| NPI | 1457030454 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 225X00000X Occupational Therapist (Licence: CA 25564) | |
| 225X00000X Occupational Therapist (Licence: VT 072.0134382) | |
| Enumeration Date | 2023-07-17 |
| Last Update Date | 2023-12-05 |