| NPI | 1679035265 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174H00000X Health Educator |
| Additional Taxonomies | 171W00000X Contractor |
| 247000000X Technician, Health Information | |
| 251S00000X | |
| 320600000X Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2019-04-02 |
| Last Update Date | 2024-10-28 |