NPI | 1114127792 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC1900X Psychologist, Counseling |
Additional Taxonomies | 103T00000X Psychologist |
103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
103TH0100X Psychologist, Health Service | |
Enumeration Date | 2007-07-20 |
Last Update Date | 2007-07-20 |