| NPI | 1831981810 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174400000X Specialist (Licence: OR 1310363-94) |
| Additional Taxonomies | 405300000X Prevention Professional (Licence: OR 1310363-94) |
| 305S00000X Point of Service (Licence: OR 1310363-94) | |
| Enumeration Date | 2025-05-19 |
| Last Update Date | 2025-05-27 |