NPI | 1629574850 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 305S00000X Point of Service |
Additional Taxonomies | 225CX0006X Rehabilitation Counselor, Orientation and Mobility Training Provider |
Enumeration Date | 2018-04-05 |
Last Update Date | 2018-04-05 |