NPI | 1437780459 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DC PSY200001585) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810006394) |
Enumeration Date | 2020-01-29 |
Last Update Date | 2024-04-24 |