| NPI | 1013353531 |
|---|---|
| Former Name | ABIGAIL DIANA MINTZ |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: DC PSY1000932) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: MD 05113) |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2024-11-29 |