| NPI | 1740371210 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 101YM0800X Counselor, Mental Health | 
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: HI OT-132) | 
| Enumeration Date | 2006-09-27 | 
| Last Update Date | 2022-10-20 |