NPI | 1598872442 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: KS 0253) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KS LAC 1073) |
Enumeration Date | 2006-08-25 |
Last Update Date | 2014-12-01 |