| NPI | 1659054187 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 405300000X Prevention Professional (Licence: NY 902106991) |
| Additional Taxonomies | 405300000X Prevention Professional (Licence: NY 192211021) |
| Enumeration Date | 2023-08-10 |
| Last Update Date | 2023-08-10 |