| NPI | 1326630948 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: WA PH60033238) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: WA MC61472593) |
| Enumeration Date | 2021-02-04 |
| Last Update Date | 2024-05-31 |