| NPI | 1982860151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MO 2025041831) |
| Additional Taxonomies | 183500000X Pharmacist (Licence: MO 2002020494) |
| Enumeration Date | 2008-08-06 |
| Last Update Date | 2026-06-17 |