| NPI | 1215573399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MD 06370) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: DC PSYA00328) |
| Enumeration Date | 2019-11-22 |
| Last Update Date | 2026-06-29 |