| NPI | 1457561979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: CT 000201) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2007-07-08 |