NPI | 1215262902 |
---|---|
Former Name | LISA M WHITTINGTON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 101YP2500X Counselor Professional (Licence: AZ LPC-11782) |
Additional Taxonomies | 183500000X Pharmacist (Licence: AZ S016098) |
Enumeration Date | 2009-10-13 |
Last Update Date | 2015-11-02 |