| NPI | 1821545203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner (Licence: MD 47-1223781) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: MD 47-1223781) |
| 101YM0800X Counselor, Mental Health (Licence: MD 47-1223781) | |
| 171M00000X Case Manager/Care Coordinator (Licence: MD 47-1223781) | |
| Enumeration Date | 2016-09-02 |
| Last Update Date | 2016-09-02 |