| NPI | 1053933705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: DC PSY200001381) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MD 06938) |
| Enumeration Date | 2020-05-15 |
| Last Update Date | 2024-03-04 |