| NPI | 1326607441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225C00000X Rehabilitation Counselor (Licence: PR 00672) |
| Additional Taxonomies | 225CX0006X (Licence: PR 00672) |
| Enumeration Date | 2019-06-12 |
| Last Update Date | 2019-06-12 |