| NPI | 1932893013 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 320700000X Residential Treatment Facility, Physical Disabilities |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: TX 326176) |
| Enumeration Date | 2023-06-02 |
| Last Update Date | 2023-06-02 |