| NPI | 1942517834 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NV 225400000X) |
| Enumeration Date | 2010-09-13 |
| Last Update Date | 2011-10-12 |