| NPI | 1982161352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2472E0500X Technician, Other, EEG |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 225C00000X Rehabilitation Counselor | |
| 246Z00000X Specialist/Technologist, Other | |
| 246ZE0600X Specialist/Technologist, Other, Electroneurodiagnostic | |
| Enumeration Date | 2019-02-21 |
| Last Update Date | 2019-02-21 |