| NPI | 1437213642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 101YP2500X Counselor, Professional (Licence: MT 617) | |
| 103G00000X Clinical Neuropsychologist (Licence: MT 617) | |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2012-11-19 |