| NPI | 1497354534 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NV 12569-M) |
| Enumeration Date | 2020-10-20 |
| Last Update Date | 2026-01-22 |