| 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 |