NPI | 1790533669 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TA0700X Psychologist, Adult Development & Aging |
Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
172A00000X Driver | |
Enumeration Date | 2024-05-07 |
Last Update Date | 2024-05-07 |