| NPI | 1508895285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health |
| Additional Taxonomies | 101YP2500X Counselor, Professional |
| 101YM0800X Counselor, Mental Health (Licence: NC 200200610) | |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
| 103TP0016X Psychologist, Prescribing (Medical) (Licence: NC 200200610) | |
| 207Q00000X Family Medicine (Licence: NC 200200610) | |
| Enumeration Date | 2006-07-03 |
| Last Update Date | 2015-07-02 |