| NPI | 1457136244 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: VA 0810007376) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: DC PSY1001662) |
| Enumeration Date | 2023-08-29 |
| Last Update Date | 2023-08-30 |