| NPI | 1154319788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist, School (Licence: NM 037148) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NM 3837) |
| 101YM0800X Counselor, Mental Health (Licence: NM 0049) | |
| 103T00000X Psychologist (Licence: NM 5251) | |
| Enumeration Date | 2005-10-07 |
| Last Update Date | 2011-03-03 |