| NPI | 1396982039 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C006272) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: NC 13097) |
| Enumeration Date | 2009-01-16 |
| Last Update Date | 2013-09-27 |