| NPI | 1427098961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: MD 04180) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: DC PSY1000359) |
| Enumeration Date | 2006-06-06 |
| Last Update Date | 2022-12-30 |