| NPI | 1669902003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MD 06360) |
| 103TC0700X Psychologist, Clinical (Licence: CO 0004887) | |
| 103TC0700X Psychologist, Clinical (Licence: DC PSY1001569) | |
| Enumeration Date | 2017-06-18 |
| Last Update Date | 2024-01-25 |