| NPI | 1457553513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology Psychiatry (Licence: CT 019875) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) |
| 103TA0400X Psychologist Addiction (Substance Use Disorder) | |
| 103TC0700X Psychologist Clinical (Licence: CT 019875) | |
| 103TC2200X Psychologist Clinical Child & Adolescent | |
| 103TF0000X Psychologist Family | |
| 2084P0804X Psychiatry & Neurology Child & Adolescent Psychiatry (Licence: CT 019875) | |
| Enumeration Date | 2007-06-01 |
| Last Update Date | 2008-06-26 |