| NPI | 1669332250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MD A01219) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: DC PSYA200001735) |
| Enumeration Date | 2025-11-14 |
| Last Update Date | 2025-11-14 |