| NPI | 1609439199 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 372600000X Adult Companion |
| Additional Taxonomies | 175T00000X Peer Specialist (Licence: CA KYPMUZJADEXBTQR) |
| 374700000X Technician | |
| Enumeration Date | 2019-04-19 |
| Last Update Date | 2025-05-28 |