| NPI | 1154584050 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: FL PY8257) |
| Additional Taxonomies | 103T00000X Psychologist |
| 103TA0400X Psychologist Addiction (Substance Use Disorder) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2008-07-10 |
| Last Update Date | 2022-05-05 |