| NPI | 1619574464 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DC psy200001247) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OH P.08080) |
| Enumeration Date | 2020-10-05 |
| Last Update Date | 2021-10-22 |