| NPI | 1295238707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MD 06152) |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
| 103TH0004X Psychologist, Health | |
| Enumeration Date | 2018-03-10 |
| Last Update Date | 2018-10-01 |