| NPI | 1679942536 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TF0200X Psychologist, Forensic (Licence: DC PSY1000553) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: DC PSY1000553) |
| Enumeration Date | 2015-09-22 |
| Last Update Date | 2025-07-29 |