| NPI | 1841464856 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: KS 2756) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: KS 00862) |
| 101YP2500X Counselor, Professional (Licence: KS 1000) | |
| Enumeration Date | 2008-04-22 |
| Last Update Date | 2025-03-17 |