| NPI | 1851624217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 2084A0401X Psychiatry & Neurology Addiction Medicine (Licence: PA PS016675) |
| Additional Taxonomies | 103TA0400X Psychologist Addiction (Substance Use Disorder) (Licence: PA PS016675) |
| 103TC0700X Psychologist Clinical (Licence: PA PS016675) | |
| Enumeration Date | 2009-09-16 |
| Last Update Date | 2015-08-17 |