| NPI | 1144637240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: DC PSY1001213) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MD 713690) |
| Enumeration Date | 2014-07-21 |
| Last Update Date | 2024-05-13 |