| NPI | 1801160155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 174400000X Specialist |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2012-03-05 |
| Last Update Date | 2021-02-17 |