| NPI | 1790135317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 225400000X Rehabilitation Practitioner |
| 104100000X Social Worker | |
| Enumeration Date | 2016-06-14 |
| Last Update Date | 2023-03-30 |