| NPI | 1114354305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: OR 3890) |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
| 103T00000X Psychologist | |
| Enumeration Date | 2013-10-02 |
| Last Update Date | 2025-08-30 |