| NPI | 1649554452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: FL OTA9593) |
| Enumeration Date | 2011-09-29 |
| Last Update Date | 2022-01-24 |