| NPI | 1235737073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DC PSY200001233) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810007390) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: DC PSYA00389) | |
| Enumeration Date | 2020-10-14 |
| Last Update Date | 2021-09-27 |