| NPI | 1457907057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810006015) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: NY 027305) |
| 103T00000X Psychologist (Licence: DC PSY200001184) | |
| Enumeration Date | 2019-08-11 |
| Last Update Date | 2025-08-05 |