| NPI | 1538559091 |
|---|---|
| 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 |
| 373H00000X Day Training/Habilitation Specialist | |
| Enumeration Date | 2015-02-04 |
| Last Update Date | 2026-03-26 |