| NPI | 1417511411 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DC PSY1001595) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810006176) |
| Enumeration Date | 2019-04-24 |
| Last Update Date | 2020-04-17 |