| NPI | 1962176461 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: professionallicense) |
| Enumeration Date | 2021-08-06 |
| Last Update Date | 2025-11-17 |