| NPI | 1043737000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: VA 0810005299) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: DC PSY1001100) |
| Enumeration Date | 2017-08-29 |
| Last Update Date | 2025-03-30 |