| NPI | 1710655253 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 225800000X Recreation Therapist |
| Enumeration Date | 2021-08-31 |
| Last Update Date | 2021-08-31 |