| NPI | 1760930341 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810005497) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: CT 5363) |
| 103TC0700X Psychologist, Clinical (Licence: MA 11977-PY-PR) | |
| 103T00000X Psychologist (Licence: DC PSY1001287) | |
| 103T00000X Psychologist (Licence: NY 023295) | |
| Enumeration Date | 2016-09-13 |
| Last Update Date | 2026-06-05 |