| NPI | 1376728469 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: AK 58) |
| Additional Taxonomies | 103TA0400X Psychologist Addiction (Substance Use Disorder) (Licence: AK 58) |
| 103TF0000X Psychologist Family (Licence: AK 58) | |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2008-01-08 |
| Last Update Date | 2021-05-04 |