| NPI | 1104380401 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: WA PY61300930) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810007722) |
| 103TC0700X Psychologist, Clinical (Licence: DC PSY200001564) | |
| Enumeration Date | 2019-01-31 |
| Last Update Date | 2024-08-01 |