| NPI | 1669519641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: certificate#04668) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: FL SW2374) |
| Enumeration Date | 2007-01-31 |
| Last Update Date | 2007-07-08 |