| NPI | 1811853427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 103TC0700X Psychologist, Clinical (Licence: DC PSY200001795) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OH P.08862) |
| Enumeration Date | 2025-12-27 |
| Last Update Date | 2026-01-05 |