| NPI | 1255887659 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: TX 63085) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 35991) |
| Enumeration Date | 2016-08-26 |
| Last Update Date | 2026-04-14 |