| NPI | 1831776855 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2083A0100X Preventive Medicine, Aerospace Medicine (Licence: TX 799622) |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YP2500X Counselor, Professional | |
| 103TH0100X Psychologist, Health Service | |
| 374700000X Technician | |
| 374700000X Technician (Licence: TX 1416192) | |
| Enumeration Date | 2021-03-25 |
| Last Update Date | 2021-03-26 |