| NPI | 1518621382 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: CA 5474) |
| Additional Taxonomies | 101Y00000X Counselor |
| 174400000X Specialist (Licence: CA 106110084) | |
| 101Y00000X Counselor (Licence: CA 5474) | |
| Enumeration Date | 2021-10-27 |
| Last Update Date | 2021-10-29 |