| NPI | 1649329434 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: IA 23523) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: IA 06645) |
| 1041C0700X Social Worker, Clinical (Licence: IN 34003346A) | |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2020-06-30 |