| NPI | 1356035810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171W00000X Contractor (Licence: FL 1256059) |
| Additional Taxonomies | 373H00000X Day Training/Habilitation Specialist (Licence: FL 1256059) |
| Enumeration Date | 2023-06-07 |
| Last Update Date | 2023-06-09 |