| NPI | 1952868705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 94080) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 10001611) |
| 225X00000X Occupational Therapist (Licence: TX 120704) | |
| 225X00000X Occupational Therapist (Licence: MA 13007) | |
| Enumeration Date | 2019-02-28 |
| Last Update Date | 2024-02-20 |