| NPI | 1669779930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NV 7836-C) |
| Enumeration Date | 2011-02-22 |
| Last Update Date | 2021-11-02 |