| NPI | 1356746598 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DC PSY200001223) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810007648) |
| Enumeration Date | 2014-10-30 |
| Last Update Date | 2023-09-08 |