| NPI | 1952793531 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 2255R0406X Specialist/Technologist, Rehabilitation, Blind (Licence: LA 5731) |
| 225CX0006X Rehabilitation Counselor, Orientation and Mobility Training Provider (Licence: LA 5731) | |
| Enumeration Date | 2015-02-19 |
| Last Update Date | 2016-07-11 |