| NPI | 1649744947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional |
| Additional Taxonomies | 156F00000X Technician/Technologist |
| 172V00000X Community Health Worker | |
| 174H00000X Health Educator | |
| 246QM0706X Spec/Tech, Pathology, Medical Technologist | |
| Enumeration Date | 2019-01-20 |
| Last Update Date | 2019-01-20 |