| NPI | 1679646285 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: HI 337) |
| Additional Taxonomies | 103TA0400X Psychologist Addiction (Substance Use Disorder) (Licence: HI 41495) |
| 103TC2200X Psychologist Clinical Child & Adolescent (Licence: HI 337) | |
| Enumeration Date | 2006-11-15 |
| Last Update Date | 2012-11-13 |