NPI | 1265147037 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103T00000X Psychologist (Licence: DC PSY1001190) |
Additional Taxonomies | 103T00000X Psychologist (Licence: MD 05784) |
103T00000X Psychologist (Licence: VA 0810007419) | |
Enumeration Date | 2023-01-17 |
Last Update Date | 2023-01-17 |