| NPI | 1295499523 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 2255A2300X Specialist/Technologist Athletic Trainer (Licence: CA Y4372173) | |
| Enumeration Date | 2021-10-22 |
| Last Update Date | 2021-11-30 |