| NPI | 1932944048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 374K00000X |
| Additional Taxonomies | 101YS0200X Counselor, School |
| 183700000X Pharmacy Technician | |
| 225C00000X Rehabilitation Counselor | |
| Enumeration Date | 2024-06-28 |
| Last Update Date | 2024-06-28 |