| NPI | 1497127047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: DC PSY200001221) |
| Additional Taxonomies | 103T00000X Psychologist |
| Enumeration Date | 2015-10-22 |
| Last Update Date | 2022-06-01 |