NPI | 1538444310 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 183500000X Pharmacist (Licence: CA 31020) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CA G0406281110) |
Enumeration Date | 2011-10-12 |
Last Update Date | 2011-10-12 |