| NPI | 1376090605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225CX0006X Rehabilitation Counselor, Orientation and Mobility Training Provider (Licence: MT ACVREP CERT # 21621) |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner |
| Enumeration Date | 2016-09-02 |
| Last Update Date | 2025-09-11 |