| NPI | 1083263610 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DC PSY1001550) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810006420) |
| 103TC0700X Psychologist, Clinical (Licence: MD PSY06261) | |
| Enumeration Date | 2019-09-06 |
| Last Update Date | 2022-10-31 |