| NPI | 1154876415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225C00000X Rehabilitation Counselor (Licence: GA 34147) |
| Additional Taxonomies | 347C00000X Private Vehicle (Licence: GA 055852853) |
| Enumeration Date | 2016-08-16 |
| Last Update Date | 2024-11-05 |