| NPI | 1205342201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2017-12-28 |
| Last Update Date | 2020-09-06 |