| NPI | 1477809671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MD 06627) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810005670) |
| 103TC0700X Psychologist, Clinical (Licence: DC PSY1001290) | |
| Enumeration Date | 2012-07-25 |
| Last Update Date | 2022-07-21 |