NPI | 1619442407 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TP2701X Psychologist, Group Psychotherapy (Licence: KS 01533) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KS 00893) |
103T00000X Psychologist (Licence: KS 2886) | |
Enumeration Date | 2018-10-08 |
Last Update Date | 2023-10-02 |