| NPI | 1295449759 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 224900000X Mastectomy Fitter (Licence: C72574) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: CA 83091) |
| Enumeration Date | 2023-01-10 |
| Last Update Date | 2025-03-29 |