NPI | 1912439001 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: MD 16339) |
Additional Taxonomies | 225400000X Rehabilitation Practitioner |
Enumeration Date | 2017-03-29 |
Last Update Date | 2025-09-15 |