| NPI | 1144246182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: WI 2969-57) |
| Additional Taxonomies | 101YP2500X Counselor, Professional (Licence: WI 510-126) |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2012-11-12 |