| NPI | 1548460637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: OR 1070) |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: OR T-24-4310) |
| Enumeration Date | 2007-07-18 |
| Last Update Date | 2025-08-12 |