| NPI | 1720133325 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: GA 059226) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: GA PSY003180) |
| 101YM0800X Counselor, Mental Health (Licence: GA PSY003180) | |
| 103T00000X Psychologist (Licence: GA PSY003180) | |
| 103TP0814X Psychologist, Psychoanalysis (Licence: GA PSY003180) | |
| 2084A0401X Psychiatry & Neurology, Addiction Medicine (Licence: GA 059226) | |
| 2084P0804X Psychiatry & Neurology, Child & Adolescent Psychiatry (Licence: GA 68148) | |
| Enumeration Date | 2007-01-24 |
| Last Update Date | 2024-05-06 |