| NPI | 1861950768 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist |
| Additional Taxonomies | 2255A2300X Specialist/Technologist, Athletic Trainer |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: WI S352-4139-8803-08) | |
| Enumeration Date | 2019-03-09 |
| Last Update Date | 2025-06-12 |