| NPI | 1023312857 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC1900X Psychologist Counseling |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TA0400X Psychologist Addiction (Substance Use Disorder) | |
| 103TP2701X Psychologist Group Psychotherapy | |
| Enumeration Date | 2011-01-10 |
| Last Update Date | 2021-10-05 |