| NPI | 1285258509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor |
| Enumeration Date | 2020-06-02 |
| Last Update Date | 2021-05-04 |