NPI | 1720351109 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101Y00000X Counselor |
Additional Taxonomies | 224Z00000X Occupational Therapy Assistant (Licence: LA 200215) |
Enumeration Date | 2012-02-16 |
Last Update Date | 2017-05-09 |