| NPI | 1235330317 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 173000000X Legal Medicine (Licence: NC 1089) |
| Additional Taxonomies | 225C00000X Rehabilitation Counselor (Licence: NC 1089) |
| Enumeration Date | 2007-05-29 |
| Last Update Date | 2009-06-01 |