| NPI | 1295017424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MD 06275) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: DC PSY1001527) |
| 103TC0700X Psychologist, Clinical (Licence: VA 0810006135) | |
| 103TC0700X Psychologist, Clinical (Licence: OR 2285) | |
| Enumeration Date | 2011-09-14 |
| Last Update Date | 2021-06-01 |