| NPI | 1225567696 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 59097) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 97496) |
| Enumeration Date | 2017-06-08 |
| Last Update Date | 2025-02-27 |