| NPI | 1609408681 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: WI 5612-27) |
| Enumeration Date | 2020-02-07 |
| Last Update Date | 2025-02-11 |