| NPI | 1457720062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: OH C.2405701) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: OH 03439364) |
| 183500000X Pharmacist (Licence: IL 051.299008) | |
| Enumeration Date | 2015-09-24 |
| Last Update Date | 2025-02-24 |