| NPI | 1750828794 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 405300000X Prevention Professional (Licence: CA BT1011529) |
| Additional Taxonomies | 247200000X Technician, Other (Licence: CA BT1625210) |
| Enumeration Date | 2017-01-29 |
| Last Update Date | 2017-01-29 |