NPI | 1578130225 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 103T00000X Psychologist (Licence: DC PSY200001670) |
Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: DC PSY200001670) |
103TP2701X Psychologist, Group Psychotherapy (Licence: DC PSY200001670) | |
103TS0200X Psychologist, School (Licence: DC PSY200001670) | |
Enumeration Date | 2021-06-09 |
Last Update Date | 2025-06-09 |