| NPI | 1063877900 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 251B00000X Case Management |
| Additional Taxonomies | 251S00000X Community/Behavioral Health |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2015-12-18 |
| Last Update Date | 2018-06-01 |