| NPI | 1629493564 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DC PSY10000962) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MD 05382) |
| Enumeration Date | 2014-03-01 |
| Last Update Date | 2023-07-19 |