| NPI | 1235774878 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MD 06055) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: DC PSY1001374) |
| 103TC0700X Psychologist, Clinical (Licence: AL 2136) | |
| Enumeration Date | 2019-11-07 |
| Last Update Date | 2022-03-25 |