NPI | 1164813986 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: CT 010491) |
Additional Taxonomies | 183700000X Pharmacy Technician (Licence: CT PTN.0012681) |
Enumeration Date | 2015-02-16 |
Last Update Date | 2020-02-28 |