| NPI | 1699969386 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 183500000X Pharmacist (Licence: CA 80284) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: CA 390200000X) |
| Enumeration Date | 2007-09-05 |
| Last Update Date | 2019-03-02 |