| NPI | 1124511308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: DC PSY1001540) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MD 06334) |
| 103TC0700X Psychologist, Clinical (Licence: VA 0810007515) | |
| Enumeration Date | 2018-06-12 |
| Last Update Date | 2022-05-03 |