NPI | 1780713701 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 2472V0600X Technician, Other, Veterinary |
Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: MA 3931) |
Enumeration Date | 2007-03-05 |
Last Update Date | 2025-09-11 |