| NPI | 1588987168 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 1041C0700X Social Worker, Clinical (Licence: NC C004563) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: NC C004563) |
| 102L00000X Psychoanalyst (Licence: NC C004563) | |
| Enumeration Date | 2010-03-10 |
| Last Update Date | 2010-03-10 |