| NPI | 1760648190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 225XP0200X Occupational Therapist Pediatrics (Licence: CA OT 1104) |
| Enumeration Date | 2008-08-05 |
| Last Update Date | 2012-08-02 |