| NPI | 1033795059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TP0016X Psychologist, Prescribing (Medical) |
| Additional Taxonomies | 101Y00000X Counselor |
| 103TS0200X Psychologist, School | |
| 1041S0200X Social Worker, School | |
| 171M00000X Case Manager/Care Coordinator | |
| 172A00000X Driver | |
| 173000000X Legal Medicine | |
| 207QA0401X Family Medicine, Addiction Medicine (Licence: GA 1167203) | |
| Enumeration Date | 2021-03-21 |
| Last Update Date | 2021-03-21 |