| NPI | 1669630042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MD 04462) |
| Additional Taxonomies | 103TC1900X Psychologist, Counseling (Licence: DC PSY1000399) |
| Enumeration Date | 2008-06-02 |
| Last Update Date | 2025-09-04 |