| NPI | 1013635044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DC PSY200001515) |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2022-08-16 |
| Last Update Date | 2023-10-02 |