| NPI | 1356135636 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101Y00000X Counselor (Licence: WA CAAR.CG.61674027) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: WA PTEC.VA.60260735) |
| Enumeration Date | 2025-04-09 |
| Last Update Date | 2026-08-14 |