| NPI | 1033710694 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DC PSY200001261) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MD 06707) |
| 103TC0700X Psychologist, Clinical (Licence: NY 025979) | |
| 103TC0700X Psychologist, Clinical (Licence: VA 0810007507) | |
| Enumeration Date | 2020-11-02 |
| Last Update Date | 2023-10-13 |