| NPI | 1821506130 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: OR 367849) |
| Additional Taxonomies | 101Y00000X Counselor |
| 225X00000X Occupational Therapist (Licence: 367849) | |
| Enumeration Date | 2018-01-21 |
| Last Update Date | 2025-01-28 |