| NPI | 1750859062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: MD 03037) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: MD 0062) |
| Enumeration Date | 2018-11-05 |
| Last Update Date | 2018-11-05 |