NPI | 1770915399 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: GA PSY004222) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
106H00000X Marriage & Family Therapist | |
390200000X Student in an Organized Health Care Education/Training Program | |
Enumeration Date | 2013-08-06 |
Last Update Date | 2020-06-15 |