| NPI | 1346012879 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| 103TA0400X Psychologist, Addiction (Substance Use Disorder) | |
| 103TH0100X Psychologist, Health Service | |
| 1041C0700X Social Worker, Clinical | |
| Enumeration Date | 2023-10-27 |
| Last Update Date | 2023-10-27 |