| NPI | 1336853456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225C00000X Rehabilitation Counselor (Licence: 112520) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: 112520) |
| Enumeration Date | 2023-01-12 |
| Last Update Date | 2023-04-26 |