| NPI | 1588435366 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MD 07248) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: DC PSYA200001297) |
| Enumeration Date | 2024-01-11 |
| Last Update Date | 2025-04-09 |