| NPI | 1295132843 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: VA 0810006643) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: DC PSY1001526) |
| Enumeration Date | 2014-11-25 |
| Last Update Date | 2023-03-20 |