| 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 |