| NPI | 1588957765 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: PR 17119) |
| Additional Taxonomies | 183700000X Pharmacy Technician (Licence: PR 7808) |
| Enumeration Date | 2011-05-23 |
| Last Update Date | 2025-03-30 |