| NPI | 1083289508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 106E00000X Assistant Behavior Analyst |
| 225400000X Rehabilitation Practitioner | |
| 225XM0800X Occupational Therapist, Mental Health | |
| Enumeration Date | 2021-05-26 |
| Last Update Date | 2023-01-25 |