NPI | 1295629590 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DC PSY200001620) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810008626) |
103TC0700X Psychologist, Clinical (Licence: MD 07168) | |
Enumeration Date | 2025-06-03 |
Last Update Date | 2025-06-03 |