| NPI | 1184979759 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 174H00000X Health Educator (Licence: CA OTA 2338)  | 
| Additional Taxonomies | 174H00000X Health Educator (Licence: MI 5202003307)  | 
| 174H00000X Health Educator (Licence: AZ 4575)  | |
| Enumeration Date | 2012-07-19 | 
| Last Update Date | 2012-07-19 |