NPI | 1225134026 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: AZ 4011) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: AZ 4011) |
103TC1900X Psychologist, Counseling (Licence: AZ 4011) | |
103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: AZ 4011) | |
Enumeration Date | 2006-09-16 |
Last Update Date | 2014-08-07 |