| NPI | 1124670823 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225C00000X Rehabilitation Counselor | 
| Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: PA 4940480) | 
| Enumeration Date | 2019-07-12 | 
| Last Update Date | 2019-07-12 |