| NPI | 1619592839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XM0800X Occupational Therapist, Mental Health |
| Additional Taxonomies | 261QM0850X Clinic/Center, Adult Mental Health |
| 171M00000X Case Manager/Care Coordinator | |
| 261QM0855X Clinic/Center, Adolescent and Children Mental Health | |
| 3747P1801X Technician, Personal Care Attendant | |
| Enumeration Date | 2020-06-12 |
| Last Update Date | 2020-07-01 |