| NPI | 1902332356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program (Licence: OH TZ711973) |
| Additional Taxonomies | 373H00000X Day Training/Habilitation Specialist (Licence: OH TZ711973) |
| Enumeration Date | 2017-05-04 |
| Last Update Date | 2017-05-04 |