| NPI | 1700046653 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C015377) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NC 2152) |
| Enumeration Date | 2008-06-13 |
| Last Update Date | 2024-04-23 |