| NPI | 1780043307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: VA 0810007327) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: DC psy1001037) |
| Enumeration Date | 2016-02-11 |
| Last Update Date | 2024-04-19 |