| NPI | 1770833071 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DC PSY1000426) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: DC PSY1000426) |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2023-07-28 |