NPI | 1881064160 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: AZ LISAC-10956) |
Additional Taxonomies | 103TC1900X Psychologist, Counseling |
103TF0000X Psychologist, Family | |
103TP2701X Psychologist, Group Psychotherapy | |
Enumeration Date | 2015-09-30 |
Last Update Date | 2015-09-30 |