| NPI | 1487487484 |
|---|---|
| Entity Type | Individual |
| Gender | N/A |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XM0800X Occupational Therapist, Mental Health (Licence: OR 543562) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: OR 543562) |
| 101YM0800X Counselor, Mental Health (Licence: OR 543562) | |
| Enumeration Date | 2024-08-23 |
| Last Update Date | 2026-05-07 |