| NPI | 1184476814 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 101YS0200X Counselor, School (Licence: CA 230149772) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2024-04-04 |
| Last Update Date | 2025-04-21 |