NPI | 1073119152 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional |
Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
225400000X Rehabilitation Practitioner | |
Enumeration Date | 2020-12-04 |
Last Update Date | 2022-09-13 |