| NPI | 1255138822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: AZ LPC-23702) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: AZ T014313) |
| Enumeration Date | 2025-02-28 |
| Last Update Date | 2026-02-26 |