| NPI | 1144505819 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: FL PY 8419) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: FL PY 8419) |
| Enumeration Date | 2011-10-13 |
| Last Update Date | 2011-10-13 |