| NPI | 1730544842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IN 88001256A) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NC 9065) |
| 225X00000X Occupational Therapist (Licence: SC 3992) | |
| Enumeration Date | 2015-12-17 |
| Last Update Date | 2024-03-29 |