| NPI | 1033857891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 225X00000X Occupational Therapist | |
| Enumeration Date | 2022-05-23 |
| Last Update Date | 2023-05-09 |