| NPI | 1265152706 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: NC 6486) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810008449) |
| 103TC0700X Psychologist, Clinical (Licence: MD 06841) | |
| 103TC0700X Psychologist, Clinical (Licence: DC PSYA200001284) | |
| Enumeration Date | 2022-09-02 |
| Last Update Date | 2025-03-13 |