| NPI | 1093002669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NH 00011) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NH 0694) |
| 101YM0800X Counselor, Mental Health (Licence: NH 904) | |
| Enumeration Date | 2011-07-05 |
| Last Update Date | 2020-02-06 |