| NPI | 1679027304 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: FL PY10441) |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: FL PY10441) |
| 103TF0200X Psychologist, Forensic (Licence: FL PY10441) | |
| Enumeration Date | 2016-08-10 |
| Last Update Date | 2025-01-15 |