| NPI | 1720642663 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 167G00000X Licensed Psychiatric Technician |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2019-04-25 |
| Last Update Date | 2025-05-02 |