| NPI | 1912325937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: OR C8046) |
| Additional Taxonomies | 247000000X Technician, Health Information |
| Enumeration Date | 2014-04-07 |
| Last Update Date | 2024-04-09 |