| NPI | 1922605690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 171W00000X Contractor (Licence: GA NTO15850) |
| Additional Taxonomies | 171WH0202X Contractor, Home Modifications (Licence: NTO15850) |
| 175T00000X Peer Specialist | |
| Enumeration Date | 2020-10-06 |
| Last Update Date | 2020-10-06 |