| NPI | 1528458221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: IA 139265) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: IA 21205) |
| Enumeration Date | 2015-02-02 |
| Last Update Date | 2026-06-11 |