| NPI | 1780825497 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103T00000X Psychologist (Licence: VA 0810005286) |
| Additional Taxonomies | 103TC2200X Psychologist, Clinical Child & Adolescent (Licence: DC PSY1000415) |
| Enumeration Date | 2009-03-11 |
| Last Update Date | 2021-08-26 |