| NPI | 1699130195 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MI 6301016485) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MI 6301016485) |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: MI 6361007845) | |
| 103TC0700X Psychologist, Clinical (Licence: MI 6361007845) | |
| Enumeration Date | 2015-12-28 |
| Last Update Date | 2024-10-16 |