| NPI | 1649058272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
| 104100000X Social Worker | |
| Enumeration Date | 2023-09-15 |
| Last Update Date | 2023-09-15 |