| NPI | 1861560021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225400000X Rehabilitation Practitioner (Licence: GA 035179) |
| Additional Taxonomies | 2083A0300X Preventive Medicine, Addiction Medicine (Licence: GA 035179) |
| Enumeration Date | 2006-12-04 |
| Last Update Date | 2025-01-08 |