| NPI | 1770947475 |
|---|---|
| Former Name | KARA ROSE DOUGLAS |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: PA PS018023) |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) (Licence: PA PS018023) |
| Enumeration Date | 2016-04-08 |
| Last Update Date | 2026-04-27 |