| NPI | 1164705190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225500000X Specialist/Technologist (Licence: NY 451615) |
| Additional Taxonomies | 225CX0006X Rehabilitation Counselor Orientation and Mobility Training Provider (Licence: 5737) |
| Enumeration Date | 2011-09-26 |
| Last Update Date | 2011-09-26 |