| NPI | 1912629270 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical |
| 225400000X Rehabilitation Practitioner | |
| Enumeration Date | 2022-09-14 |
| Last Update Date | 2024-05-08 |