| 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 |