| NPI | 1902307689 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: NC A15143) |
| Additional Taxonomies | 183700000X Pharmacy Technician |
| Enumeration Date | 2018-02-27 |
| Last Update Date | 2019-09-11 |