| NPI | 1235593849 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: DC 1940) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: VA 0810004998) |
| 103T00000X Psychologist (Licence: MD 03531) | |
| Enumeration Date | 2016-04-09 |
| Last Update Date | 2020-01-07 |