| NPI | 1881186542 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 224900000X Mastectomy Fitter |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 104100000X Social Worker | |
| 1041C0700X Social Worker, Clinical | |
| 1744P3200X Specialist, Prosthetics Case Management | |
| Enumeration Date | 2018-05-30 |
| Last Update Date | 2023-07-10 |