| NPI | 1851546667 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 18847-130) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: MN 103657) |
| 225X00000X Occupational Therapist (Licence: WI 5202-26) | |
| 225X00000X Occupational Therapist (Licence: IL 056008907) | |
| Enumeration Date | 2008-11-20 |
| Last Update Date | 2020-06-15 |