| NPI | 1124610480 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 373H00000X Day Training/Habilitation Specialist | 
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program | 
| Enumeration Date | 2021-02-08 | 
| Last Update Date | 2025-08-18 |