| NPI | 1801160155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 171M00000X Case Manager/Care Coordinator | |
| 174400000X Specialist | |
| Enumeration Date | 2012-03-05 |
| Last Update Date | 2025-06-12 |