| NPI | 1578863080 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DC PSY1000663) |
| Additional Taxonomies | 103TH0004X Psychologist, Health (Licence: MD 04992) |
| Enumeration Date | 2010-10-31 |
| Last Update Date | 2021-05-21 |