| NPI | 1417252966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: NC 19194) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: NC A21494) |
| Enumeration Date | 2011-01-13 |
| Last Update Date | 2025-07-18 |