NPI | 1669242574 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 247200000X Technician, Other (Licence: OR E-10238354) |
Additional Taxonomies | 175T00000X Peer Specialist (Licence: OR E-10238354) |
Enumeration Date | 2024-01-03 |
Last Update Date | 2024-01-03 |