| NPI | 1568041515 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DC PSY200001490) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MD 07043) |
| Enumeration Date | 2021-04-06 |
| Last Update Date | 2023-09-11 |