| NPI | 1245713726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MD 06306) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: DC PSYA00229) |
| Enumeration Date | 2018-09-11 |
| Last Update Date | 2024-07-09 |