| NPI | 1922102334 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: TX 674) |
| Additional Taxonomies | 103TF0000X Psychologist, Family (Licence: TX 3676) |
| Enumeration Date | 2006-09-08 |
| Last Update Date | 2007-07-08 |