| NPI | 1457922767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MA PSY5000372) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810007701) |
| 103TC0700X Psychologist, Clinical (Licence: DC PSY200001452) | |
| Enumeration Date | 2021-07-07 |
| Last Update Date | 2024-07-04 |