| NPI | 1689459034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: DC PSY200001250) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MD 06649) |
| Enumeration Date | 2023-08-25 |
| Last Update Date | 2023-09-08 |