NPI | 1750346193 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: PA PS009056L) |
Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: PA PS009056L) |
103TC1900X Psychologist, Counseling (Licence: PA PS009056L) | |
Enumeration Date | 2006-04-19 |
Last Update Date | 2008-12-09 |