| NPI | 1932943297 |
|---|---|
| Former Name | TAVA REID |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 390200000X Student in an Organized Health Care Education/Training Program |
| Additional Taxonomies | 225800000X Recreation Therapist (Licence: UT 8886213-4002) |
| Enumeration Date | 2024-06-21 |
| Last Update Date | 2024-06-21 |