| NPI | 1366942872 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer (Licence: 2000026123) |
| Additional Taxonomies | 146N00000X Emergency Medical Technician, Basic (Licence: CA E160410) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 95368960) | |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2024-09-23 |