| NPI | 1639528482 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 222Q00000X Developmental Therapist |
| Enumeration Date | 2016-06-11 |
| Last Update Date | 2023-06-20 |