| NPI | 1720700420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA 94028073) |
| Additional Taxonomies | 101Y00000X Counselor |
| 224Z00000X Occupational Therapy Assistant | |
| 172V00000X Community Health Worker | |
| Enumeration Date | 2022-09-19 |
| Last Update Date | 2024-03-05 |