| NPI | 1841592441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225XM0800X Occupational Therapist, Mental Health (Licence: OR 392484) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 225X00000X Occupational Therapist (Licence: OR 392484) | |
| Enumeration Date | 2010-12-02 |
| Last Update Date | 2019-05-24 |