NPI | 1619096302 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: VT 000234) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VT 000234) |
Enumeration Date | 2007-03-27 |
Last Update Date | 2008-10-22 |