| NPI | 1417599861 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor Mental Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 101YA0400X Counselor Addiction (Substance Use Disorder) | |
| 103TC1900X Psychologist Counseling | |
| 103TF0200X Psychologist Forensic | |
| 103TP2701X Psychologist Group Psychotherapy | |
| 104100000X Social Worker | |
| 2080C0008X Pediatrics Child Abuse Pediatrics | |
| Enumeration Date | 2019-10-16 |
| Last Update Date | 2019-10-16 |