NPI | 1629397617 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DC PSY1001716) |
Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: VA 0810006455) |
103TC0700X Psychologist, Clinical (Licence: IN 20042486A) | |
Enumeration Date | 2010-05-31 |
Last Update Date | 2021-12-21 |