| NPI | 1043758634 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 372600000X Adult Companion (Licence: NJ 26NR17449800) |
| Additional Taxonomies | 372600000X Adult Companion (Licence: NY 508146-1) |
| Enumeration Date | 2017-02-03 |
| Last Update Date | 2017-02-03 |