| NPI | 1912367954 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC1900X Psychologist, Counseling |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
| 103TF0200X Psychologist, Forensic | |
| Enumeration Date | 2016-03-03 |
| Last Update Date | 2016-04-26 |