| NPI | 1639420748 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225C00000X Rehabilitation Counselor (Licence: CA 105413) |
| Additional Taxonomies | 101Y00000X Counselor (Licence: CA 105413) |
| Enumeration Date | 2012-09-28 |
| Last Update Date | 2018-07-24 |