| NPI | 1578973335 |
|---|---|
| Former Name | CAMILLE ASHLEY MALCHERCZYK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: TX 39106) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) |
| Enumeration Date | 2014-05-02 |
| Last Update Date | 2025-07-17 |