| NPI | 1477356673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner |
| 261QR0400X Clinic/Center, Rehabilitation | |
| 273Y00000X Rehabilitation Unit | |
| Enumeration Date | 2025-03-31 |
| Last Update Date | 2025-03-31 |