| NPI | 1154975605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: DC PSY1001592) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810006118) |
| Enumeration Date | 2019-08-01 |
| Last Update Date | 2020-04-12 |