| NPI | 1538705231 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MD 06762) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: VA 0810007878) |
| 103T00000X Psychologist (Licence: DC PSY200001358) | |
| Enumeration Date | 2019-11-18 |
| Last Update Date | 2023-08-14 |