| NPI | 1093106965 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 261QH0100X Clinic/Center, Health Services |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 101Y00000X Counselor | |
| 246RP1900X Technician, Pathology, Phlebotomy | |
| 261QX0100X Clinic/Center, Occupational Medicine | |
| Enumeration Date | 2015-02-12 |
| Last Update Date | 2024-06-10 |