| NPI | 1336675412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DC PSY1001471) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810005991) |
| Enumeration Date | 2017-05-10 |
| Last Update Date | 2019-03-14 |