| NPI | 1750780086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225C00000X Rehabilitation Counselor (Licence: CA 2012913) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program (Licence: CA E1193040) |
| Enumeration Date | 2014-08-22 |
| Last Update Date | 2022-07-21 |