| NPI | 1700204351 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 101YP2500X Counselor, Professional (Licence: VA 0701005585) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: DC PSY200001474) |
| 101YP2500X Counselor, Professional (Licence: DC PRC13802) | |
| 103TC0700X Psychologist, Clinical (Licence: VA 0810007440) | |
| Enumeration Date | 2014-04-01 |
| Last Update Date | 2023-08-30 |