| NPI | 1770896789 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: MD 05007) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: DC PSY1001320) |
| 103T00000X Psychologist | |
| Enumeration Date | 2010-07-19 |
| Last Update Date | 2021-06-06 |