| NPI | 1750163606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist Clinical (Licence: DC PSY200001510) |
| Additional Taxonomies | 103TC0700X Psychologist Clinical (Licence: VA 0810008247) |
| Enumeration Date | 2023-10-16 |
| Last Update Date | 2023-10-16 |