| NPI | 1114772266 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 172V00000X Community Health Worker | |
| 225400000X Rehabilitation Practitioner | |
| 373H00000X Day Training/Habilitation Specialist | |
| Enumeration Date | 2024-04-22 |
| Last Update Date | 2025-08-26 |