| NPI | 1194397372 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor |
| Additional Taxonomies | 246Y00000X Spec/Tech, Health Info |
| 247000000X Technician, Health Information | |
| Enumeration Date | 2021-07-15 |
| Last Update Date | 2022-06-08 |