| NPI | 1790533669 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TA0700X Psychologist, Adult Development & Aging |
| Additional Taxonomies | 103TA0400X Psychologist, Addiction (Substance Use Disorder) |
| 172A00000X Driver | |
| Enumeration Date | 2024-05-07 |
| Last Update Date | 2024-05-07 |