| NPI | 1184887499 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner |
| 374700000X Technician | |
| Enumeration Date | 2008-07-07 |
| Last Update Date | 2025-07-18 |