| NPI | 1265661789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DE B1-0000747) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: DE CD-0000030) |
| 1041C0700X Social Worker, Clinical (Licence: DE Q1-0000625) | |
| Enumeration Date | 2009-07-06 |
| Last Update Date | 2009-07-06 |