| NPI | 1740354224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DC PSY1001364) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: OH P.07696) |
| Enumeration Date | 2006-11-17 |
| Last Update Date | 2022-02-02 |