| NPI | 1265838221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 302R00000X Health Maintenance Organization |
| Additional Taxonomies | 101Y00000X Counselor |
| 174H00000X Health Educator | |
| Enumeration Date | 2014-11-18 |
| Last Update Date | 2014-11-18 |