| NPI | 1093288094 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: DC PSY1001668) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810006385) |
| Enumeration Date | 2019-01-02 |
| Last Update Date | 2023-11-30 |