| NPI | 1720504459 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2017-08-15 |
| Last Update Date | 2022-07-21 |