| NPI | 1013441880 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MD 06043) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: DC PSY1001575) |
| Enumeration Date | 2017-04-18 |
| Last Update Date | 2020-10-20 |