NPI | 1669742383 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 225X00000X Occupational Therapist (Licence: WA 60835722) |
Additional Taxonomies | 101YM0800X Counselor, Mental Health |
225X00000X Occupational Therapist (Licence: VT 072.0134280) | |
Enumeration Date | 2012-01-11 |
Last Update Date | 2022-09-26 |