| NPI | 1669912200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist |
| Additional Taxonomies | 101Y00000X Counselor |
| 174H00000X Health Educator | |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2017-03-01 |
| Last Update Date | 2017-03-02 |