| NPI | 1477884195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: CA 1919) |
| Enumeration Date | 2010-01-20 |
| Last Update Date | 2021-11-16 |