| NPI | 1124689054 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810007289) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: DC PSY1001367) |
| Enumeration Date | 2019-06-21 |
| Last Update Date | 2022-01-25 |