| NPI | 1538056494 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 174400000X Specialist (Licence: NY 1899463251) |
| Additional Taxonomies | 405300000X Prevention Professional (Licence: NY 1899463251) |
| Enumeration Date | 2025-06-23 |
| Last Update Date | 2025-06-24 |