| NPI | 1598445140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DC PSY1000867) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MD 06724) |
| 103TC0700X Psychologist, Clinical (Licence: VA 0810006093) | |
| Enumeration Date | 2023-07-19 |
| Last Update Date | 2023-07-19 |