| NPI | 1528654480 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: CO PSY.0005969) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: DC PSY1001477) |
| 103TC0700X Psychologist, Clinical (Licence: VA 0810006022) | |
| Enumeration Date | 2020-12-15 |
| Last Update Date | 2024-02-23 |