| NPI | 1104129923 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner (Licence: VA 0715002953) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator (Licence: VA 00009591) |
| 225C00000X Rehabilitation Counselor (Licence: VA 00009591) | |
| Enumeration Date | 2010-12-16 |
| Last Update Date | 2010-12-16 |