| NPI | 1619408812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DC PSY1001426) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810006057) |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2018-12-10 |