| NPI | 1689396509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NE 7771) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: NE 13140) |
| 222Q00000X Developmental Therapist | |
| 225400000X Rehabilitation Practitioner | |
| 225800000X Recreation Therapist | |
| 225C00000X Rehabilitation Counselor | |
| Enumeration Date | 2022-09-16 |
| Last Update Date | 2022-10-04 |