| 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 |