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 |