NPI | 1740322395 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DC PSY1000072) |
Additional Taxonomies | 103T00000X Psychologist (Licence: DC PSY1000072) |
103TA0700X Psychologist, Adult Development & Aging (Licence: DC PSY1000072) | |
103TF0000X Psychologist, Family (Licence: DC PSY1000072) | |
Enumeration Date | 2007-02-12 |
Last Update Date | 2024-12-06 |