| NPI | 1043443245 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810005580) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: DC PSY1001551) |
| 103TC0700X Psychologist, Clinical (Licence: MD 05452) | |
| Enumeration Date | 2009-09-03 |
| Last Update Date | 2024-05-01 |