| NPI | 1629239298 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: KS 1-100468) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: KS 1174) |
| Enumeration Date | 2008-06-17 |
| Last Update Date | 2022-10-16 |