| NPI | 1396549176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: CO PSY.0005593) |
| Additional Taxonomies | 103TB0200X Psychologist, Cognitive & Behavioral (Licence: CO PSY.0005593) |
| 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: CO PSY.0005593) | |
| Enumeration Date | 2025-04-02 |
| Last Update Date | 2025-05-28 |