| NPI | 1124590583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174H00000X Health Educator (Licence: CA 6825) |
| Additional Taxonomies | 174H00000X Health Educator (Licence: CA SP6825) |
| 235Z00000X Speech-Language Pathologist, (Licence: CA SP6825) | |
| 405300000X Prevention Professional (Licence: CA SP6825) | |
| Enumeration Date | 2018-12-26 |
| Last Update Date | 2018-12-26 |