| NPI | 1831528843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YM0800X Counselor, Mental Health (Licence: MA 11003) |
| Additional Taxonomies | 102L00000X Psychoanalyst |
| 103K00000X Behavior Analyst | |
| 103T00000X Psychologist | |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) | |
| 101YM0800X Counselor, Mental Health | |
| Enumeration Date | 2013-11-11 |
| Last Update Date | 2019-03-19 |