| NPI | 1023546223 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PR 14678) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: PR 008562) |
| Enumeration Date | 2017-06-01 |
| Last Update Date | 2026-08-07 |