| NPI | 1376059840 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225C00000X Rehabilitation Counselor (Licence: NC 00282458) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: NC A13571) |
| Enumeration Date | 2017-12-20 |
| Last Update Date | 2017-12-20 |