| NPI | 1780942193 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: MD 07494) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: DC PSY1000706) |
| Enumeration Date | 2012-04-24 |
| Last Update Date | 2026-07-06 |