| NPI | 1801097720 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NM 0137921) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NM 2191) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2011-03-16 |