| NPI | 1699276352 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 225400000X Rehabilitation Practitioner | 
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator | 
| 172V00000X Community Health Worker | |
| 373H00000X Day Training/Habilitation Specialist | |
| Enumeration Date | 2018-02-27 | 
| Last Update Date | 2025-05-28 |