| NPI | 1326747254 |
|---|---|
| Former Name | NA NA NA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 175T00000X Peer Specialist |
| Enumeration Date | 2023-02-28 |
| Last Update Date | 2023-02-28 |