| NPI | 1285163279 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DC PSY200001215) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810007549) |
| 103TC0700X Psychologist, Clinical (Licence: MD 06665) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2017-06-05 |
| Last Update Date | 2022-10-04 |