| NPI | 1184481764 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225400000X Rehabilitation Practitioner (Licence: ID 4880890)  | 
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator | 
| 175T00000X Peer Specialist | |
| Enumeration Date | 2024-02-29 | 
| Last Update Date | 2024-02-29 |