| NPI | 1700656584 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: OR 506146) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR 506146) |
| Enumeration Date | 2024-01-03 |
| Last Update Date | 2026-05-25 |