| NPI | 1942855762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC P019349) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: NH 2710) |
| 225X00000X Occupational Therapist (Licence: NC 13791) | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC 29222) | |
| 225X00000X Occupational Therapist (Licence: TN 6586) | |
| Enumeration Date | 2019-08-08 |
| Last Update Date | 2025-01-25 |