| NPI | 1821511577 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 183500000X Pharmacist (Licence: PA RP451514) |
| Additional Taxonomies | 174H00000X Health Educator |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| Enumeration Date | 2017-07-24 |
| Last Update Date | 2017-07-24 |