| NPI | 1437675972 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 172A00000X Driver (Licence: GA 19403037) |
| Additional Taxonomies | 101Y00000X Counselor |
| 372600000X Adult Companion | |
| Enumeration Date | 2017-08-16 |
| Last Update Date | 2017-08-16 |