| NPI | 1689448672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor |
| Enumeration Date | 2023-11-09 |
| Last Update Date | 2025-06-30 |