| NPI | 1083439079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225C00000X Rehabilitation Counselor (Licence: ID 323964) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: ID 9961975) |
| Enumeration Date | 2024-11-15 |
| Last Update Date | 2024-11-15 |