| NPI | 1871343160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 174200000X Meals (Licence: OH 4769242) |
| Additional Taxonomies | 175T00000X Peer Specialist |
| 347C00000X Private Vehicle (Licence: OH 4769242) | |
| Enumeration Date | 2024-03-27 |
| Last Update Date | 2024-04-19 |