| NPI | 1508934654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 102L00000X Psychoanalyst |
| Additional Taxonomies | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: MA 146216) |
| Enumeration Date | 2006-11-30 |
| Last Update Date | 2013-09-03 |