| NPI | 1780192732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 171M00000X Case Manager/Care Coordinator | |
| 101Y00000X Counselor | |
| Enumeration Date | 2018-01-11 |
| Last Update Date | 2025-08-30 |