| NPI | 1376607796 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH26173) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL ps34635) |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2025-09-08 |