| NPI | 1740611961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TS0200X Psychologist School |
| Additional Taxonomies | 103TS0200X Psychologist School (Licence: MD 15-7445) |
| 103TS0200X Psychologist School (Licence: VA PPS-0603092) | |
| Enumeration Date | 2013-12-13 |
| Last Update Date | 2024-08-28 |