| NPI | 1063196483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DC PSY200001483) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MD 07023) |
| Enumeration Date | 2023-06-14 |
| Last Update Date | 2023-06-26 |