| NPI | 1861158321 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 101Y00000X Counselor |
| 374700000X Technician | |
| Enumeration Date | 2021-11-09 |
| Last Update Date | 2023-06-20 |