| NPI | 1467624593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TF0000X Psychologist, Family (Licence: MI 6301011727) |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: MI 6301011727) |
| Enumeration Date | 2008-03-28 |
| Last Update Date | 2008-03-28 |