| NPI | 1407271745 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TA0400X Psychologist Addiction (Substance Use Disorder) (Licence: NM CSA0203021) |
| Additional Taxonomies | 101Y00000X Counselor |
| Enumeration Date | 2014-02-24 |
| Last Update Date | 2019-04-30 |