| NPI | 1386232932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: TX 85088) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: TX 59652) |
| Enumeration Date | 2021-01-08 |
| Last Update Date | 2023-10-03 |