| NPI | 1639786361 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2255A2300X Specialist/Technologist, Athletic Trainer |
| Additional Taxonomies | 133NN1002X Nutritionist, Nutrition, Education |
| 174H00000X Health Educator | |
| 175T00000X Peer Specialist | |
| 225800000X Recreation Therapist | |
| 226000000X Recreational Therapist Assistant | |
| Enumeration Date | 2020-09-27 |
| Last Update Date | 2020-09-27 |