| NPI | 1922282888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TA0400X Psychologist Addiction (Substance Use Disorder) (Licence: PR 204842) |
| Additional Taxonomies | 101YA0400X Counselor Addiction (Substance Use Disorder) (Licence: PR 009) |
| 101YM0800X Counselor Mental Health (Licence: PR 0291) | |
| 103TF0200X Psychologist Forensic (Licence: PR 08-002) | |
| 172V00000X Community Health Worker (Licence: PR 8196) | |
| Enumeration Date | 2007-12-27 |
| Last Update Date | 2010-10-21 |