| NPI | 1164963187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 405300000X Prevention Professional (Licence: WA MA60683197) |
| Additional Taxonomies | 405300000X Prevention Professional (Licence: WI 13109-146) |
| Enumeration Date | 2017-03-09 |
| Last Update Date | 2017-03-09 |