| NPI | 1538697149 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DC 200001535) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: NY 025639) |
| 103TC0700X Psychologist, Clinical (Licence: VA 0810006357) | |
| Enumeration Date | 2017-05-25 |
| Last Update Date | 2023-12-07 |