| NPI | 1174199632 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: NC CADC-24997) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: NC CADC-24997) |
| 101YP2500X Counselor, Professional (Licence: NC CADC-24997) | |
| Enumeration Date | 2021-06-03 |
| Last Update Date | 2024-07-18 |