| NPI | 1831323948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225XM0800X Occupational Therapist, Mental Health (Licence: NY 7932256) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 225XM0800X Occupational Therapist, Mental Health (Licence: PA OC012409) | |
| Enumeration Date | 2009-05-05 |
| Last Update Date | 2012-09-21 |