| NPI | 1427115716 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: WI 2274-057) |
| Additional Taxonomies | 103TA0400X Psychologist Addiction (Substance Use Disorder) (Licence: WI 2274-057) |
| 103T00000X Psychologist (Licence: WI 2274-057) | |
| Enumeration Date | 2007-01-03 |
| Last Update Date | 2008-07-18 |