| NPI | 1265164842 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 373H00000X Day Training/Habilitation Specialist | |
| Enumeration Date | 2022-06-30 |
| Last Update Date | 2025-06-25 |