| NPI | 1821434200 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 103T00000X Psychologist (Licence: DC PSY1001399) |
| Additional Taxonomies | 103T00000X Psychologist (Licence: MD 06170) |
| 103TC0700X Psychologist, Clinical (Licence: TN 3329) | |
| Enumeration Date | 2013-05-13 |
| Last Update Date | 2018-09-24 |