| NPI | 1598979718 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: FL MH17643) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: FL PS32852) |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2019-12-24 |