| NPI | 1326778333 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 374U00000X Home Health Aide | |
| Enumeration Date | 2022-06-13 |
| Last Update Date | 2022-06-13 |