| NPI | 1881471522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810008706) |
| Additional Taxonomies | 101YA0400X Counselor, Addiction (Substance Use Disorder) (Licence: VA 0718000290) |
| 101Y00000X Counselor (Licence: VA 0701007617) | |
| Enumeration Date | 2023-09-14 |
| Last Update Date | 2026-05-13 |