| NPI | 1013548916 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1835P0018X Pharmacist, Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist (Licence: KY 10224) |
| Additional Taxonomies | 102L00000X Psychoanalyst (Licence: KY 10224) |
| Enumeration Date | 2020-01-29 |
| Last Update Date | 2020-01-29 |