| NPI | 1922279975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: PA PS005955L) |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: DE B1-0000370) |
| Enumeration Date | 2008-03-18 |
| Last Update Date | 2010-02-26 |