| NPI | 1225655137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: DC PSY1001635) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: MD 06409) |
| 103TC0700X Psychologist Clinical (Licence: VA 0810006911) | |
| Enumeration Date | 2020-06-26 |
| Last Update Date | 2021-10-18 |