| NPI | 1720789159 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 373H00000X Day Training/Habilitation Specialist |
| Additional Taxonomies | 172V00000X Community Health Worker |
| 225400000X Rehabilitation Practitioner | |
| 225C00000X Rehabilitation Counselor | |
| Enumeration Date | 2023-03-13 |
| Last Update Date | 2025-05-28 |