NPI | 1821195975 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: KS 1015) |
Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KS 339) |
Enumeration Date | 2006-09-20 |
Last Update Date | 2023-03-07 |