| NPI | 1467233262 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: MI 6362010256) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MI 6362010256) |
| 103TA0700X Psychologist, Adult Development & Aging (Licence: MI 6362010256) | |
| 103T00000X Psychologist (Licence: MI 6362010256) | |
| Enumeration Date | 2023-10-09 |
| Last Update Date | 2026-08-29 |