NPI | 1477378610 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DC PSYA200001525) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MD A0777) |
103TB0200X Psychologist, Cognitive & Behavioral | |
103TF0200X Psychologist, Forensic | |
Enumeration Date | 2024-11-21 |
Last Update Date | 2024-11-21 |