| NPI | 1528505443 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: UT 11791433-4201) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2017-01-30 |
| Last Update Date | 2020-10-13 |