| NPI | 1770769663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL ot7381) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: FL MH 9175) |
| Enumeration Date | 2008-01-10 |
| Last Update Date | 2014-01-23 |