| NPI | 1376061754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 405300000X Prevention Professional (Licence: OH 1167) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 174H00000X Health Educator (Licence: 18988) | |
| Enumeration Date | 2017-09-06 |
| Last Update Date | 2017-09-06 |