| NPI | 1205046976 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: PR 192) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: PR 978) |
| Enumeration Date | 2007-05-23 |
| Last Update Date | 2007-07-08 |