| NPI | 1669156287 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 101Y00000X Counselor |
| 106S00000X Behavior Technician | |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2023-06-14 |
| Last Update Date | 2025-06-28 |