| NPI | 1295045318 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6361004588) |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: MI 6301014371) |
| 103TC0700X Psychologist, Clinical (Licence: MI 6301014371) | |
| Enumeration Date | 2010-10-08 |
| Last Update Date | 2020-04-30 |