| NPI | 1326714155 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 2255A2300X Specialist/Technologist Athletic Trainer |
| 225C00000X Rehabilitation Counselor | |
| Enumeration Date | 2021-08-20 |
| Last Update Date | 2021-08-20 |