| NPI | 1356770317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2013-11-10 |
| Last Update Date | 2017-02-16 |