| NPI | 1811333594 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YM0800X Counselor, Mental Health | |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2013-05-21 |
| Last Update Date | 2018-10-04 |