| NPI | 1639367873 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: TX 45724) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: TX 74547) |
| Enumeration Date | 2007-10-12 |
| Last Update Date | 2020-07-20 |