| NPI | 1205484839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MD 07276) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: DC PSYA200001326) |
| Enumeration Date | 2019-08-27 |
| Last Update Date | 2024-11-07 |