| NPI | 1003340035 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: DC PSY1001443) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MD 06404) |
| 103TC0700X Psychologist, Clinical (Licence: VA 0810006741) | |
| Enumeration Date | 2017-04-17 |
| Last Update Date | 2023-10-30 |