| NPI | 1770158313 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DC psy200001485) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: MD 06993) |
| Enumeration Date | 2021-05-25 |
| Last Update Date | 2023-10-04 |