NPI | 1275012197 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: CA 12291) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
Enumeration Date | 2018-08-10 |
Last Update Date | 2022-09-12 |