| NPI | 1700336021 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: VA 0810006273) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: DC 1001203) |
| 103T00000X Psychologist (Licence: MD 5767) | |
| 103TS0200X Psychologist, School (Licence: 47474) | |
| Enumeration Date | 2016-10-11 |
| Last Update Date | 2019-10-29 |