| NPI | 1184489296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MD 07497) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: DC PSYA200001496) |
| Enumeration Date | 2024-02-19 |
| Last Update Date | 2025-10-03 |