| NPI | 1154088557 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: DC PSY200001385) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: VA 0810007810) |
| Enumeration Date | 2021-11-19 |
| Last Update Date | 2024-10-04 |