| NPI | 1881364255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: FL 25549) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 12407) |
| Enumeration Date | 2021-09-17 |
| Last Update Date | 2024-09-06 |