| NPI | 1255052635 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MD 07134) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: DC PSYA200001324) |
| Enumeration Date | 2022-09-06 |
| Last Update Date | 2024-08-12 |