| NPI | 1487744918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WI 5093-57) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: WI 2042) |
| 104100000X Social Worker (Licence: WI 2838123) | |
| 1041C0700X Social Worker, Clinical (Licence: WI 2838) | |
| Enumeration Date | 2006-10-13 |
| Last Update Date | 2023-08-25 |