| NPI | 1578563664 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101Y00000X Counselor (Licence: OK 4142) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: OK T-7063) |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2010-06-23 |